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Updated: Sep 13, 2025

Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
Published on: January 18, 2018
Urgent thrombolysis followed by percutaneous coronary intervention for the simultaneous acute cardio-cerebral
1Section 1 of Cadre Wards, The General Hospital of Western Theater Command, Chengdu 610036, Sichuan Province, China.
Background:
Simultaneous acute ischemic stroke (AIS) and myocardial infarction (cardiocerebral ischemic attack) have rarely been reported in the literature. Currently, no clear evidence-based guidelines or clinical trials exist to determine the optimal therapeutic strategy for these patients.
Case Summary:
We present the case of a 27-year-old Chinese man who simultaneously experienced acute concomitant cerebrocardiac infarction (CCI) and painless ST-elevation myocardial infarction. The patient was successfully treated with elective percutaneous coronary intervention (PCI) after receiving urgent systemic thrombolysis at the standard dose for AIS.
Conclusion:
Urgent thrombolysis followed by elective PCI was an appropriate strategy for the management of simultaneous CCI.
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