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Ischaemic Stroke Following Percutaneous Transluminal Coronary Angioplasty (PTCA): A Rare Complication

Sanket K Mahajan1, Anand B Sanghi1

  • 1Faculty, ICCU, Lilavati Hospital and Research Centre , Bandra, Mumbai, India .

Journal of Clinical and Diagnostic Research : JCDR
|August 15, 2014
PubMed

Insights

Stroke after percutaneous coronary intervention (PCI) is a serious complication. This case study details a patient who recovered well after experiencing ischemic stroke post-PCI, highlighting management strategies.

Area of Science:

  • Cardiology
  • Neurology
  • Interventional Cardiology

Background:

  • Stroke is a feared complication of percutaneous coronary intervention (PCI).
  • Technical errors during PCI can contribute to stroke development.
  • Acute coronary syndrome (ACS) necessitates urgent intervention, increasing stroke risk.

Observation:

  • A patient diagnosed with ACS underwent PCI.
  • The patient subsequently developed left-sided hemiparesis due to an ischemic stroke affecting the right middle cerebral artery.
  • Standard treatment protocols for both ACS and ischemic stroke were initiated.

Findings:

  • The patient responded well to the implemented treatment protocols.
  • She was discharged in a hemodynamically stable condition.
  • Follow-up at 15 days showed complete symptom resolution.

Implications:

  • This case underscores the importance of prompt and appropriate management of stroke following PCI.
  • Discussing preventive and treatment measures is crucial for mitigating this rare complication.
  • Optimizing PCI techniques and post-procedural care may reduce stroke incidence.

Keywords:
Acute coronary syndromeCardiac catheterisationIschaemic strokePercutaneous coronary interventionRight middle cerebral artery

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