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Spinal Cord Infarction: Access Site Complication of Femoral Artery Percutaneous Coronary Intervention
Lubna Saffarini1, Rand Aboelkher1, Nour Sabobeh1
1Emergency Medicine, Rashid Hospital, Dubai, ARE.
Insights
Spinal cord infarction (SCI) is a rare complication following femoral artery percutaneous coronary intervention (PCI). This case report details a patient who experienced lower limb weakness after PCI, highlighting this uncommon vascular syndrome.
Area of Science:
- Neurology
- Cardiology
- Vascular Medicine
Background:
- Spinal cord infarction (SCI) is an uncommon neurological emergency.
- Percutaneous coronary intervention (PCI) is a common procedure for treating coronary artery disease.
- Vascular complications can arise from PCI procedures.
Observation:
- A patient developed bilateral lower limb weakness eight days post-femoral artery PCI.
- The patient was diagnosed with spinal cord infarction.
Findings:
- This case highlights a rare but serious complication of PCI.
- The report reviews demographic, investigative, and management data for SCI post-PCI.
- Risk factors and prognosis associated with this complication are discussed.
Implications:
- Awareness of SCI as a potential complication of PCI is crucial for clinicians.
- Early diagnosis and management may improve patient outcomes.
- Further research into preventative strategies for PCI-related SCI is warranted.
Abstract:
Spinal cord infarction (SCI) is an uncommon vascular syndrome that leads to neurologic abnormalities with multiple implicated causes. Percutaneous coronary intervention (PCI) is a non-surgical invasive procedure used to relieve an arterial occlusion or narrowing that causes ischemia to the heart. This is usually performed by different methods and different arterial access sites. Here, we present a case of a patient who developed bilateral lower limb weakness eight days after a femoral artery PCI and was diagnosed with SCI. This case report aims to document a rare complication and highlight the most important demographic, investigation, management, risk factors, and prognosis data available in the literature.
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