Complicaciones neurológicas tras intervencionismo cardíaco percutáneo

Abstract

Introduction: Percutaneous coronary intervention (PCI) related neurological complications are wide and rare, but may be fatal. Cases: We present an ischaemic stroke-IS-(case 1), and two cases of contrast induced encephalopathy-CIE-(2 and 3). Two males (1 and 2) and one woman (3), with vascular risk factors and an average age of 76. All of them presented with acute focal neurological symptoms at the end of the procedure and Stroke Code was activated inmediately. 2 and 3 also associated psychomotor agitation. Multimodal CT head was normal in 2 and 3, whereas it showed a left M1 occlusion in 1. Reperfusion treatment was contraindicated 1 due to anticoagulation. EEG was normal in 2 and showed focal paroxisms in left hemisphere in 3. 2 and 3 were successfully treated with fluids and antiepileptics (3). 1 died due to respiratory infection. Conclusions: Acute focal neurological symptoms following PCI should make us consider IS and CIE and provide the patient with urgent specific treatment.