Stroke Complicating Percutaneous Coronary Interventions

Fuchs, Shmuel; Stabile, Eugenio; Kinnaird, Timothy; Mintz, Gary S.; Gruberg, Luis; Caños, Daniel; Pinnow, Ellen; Kornowski, Ran; Suddath, William O.; Satler, Lowell F.; Pichard, Augusto D.; Kent, Kenneth M.; Weissman, Neil J.

doi:10.1161/01.cir.0000020678.16325.e0

Cited by 191 publications

(82 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The present study demonstrates that patients who were being admitted to the departments of cardiology or cardiovascular surgery had a higher frequency of ischaemic stroke than those admitted to other departments. Cardiovascular procedures for the heart and main arteries themselves are known to be associated with a higher frequency of ischaemic stroke [5,9,[12][13][14]. It is not surprising that there is a higher frequency of ischaemic stroke in patients who have been admitted to cardiology or cardiovascular surgery because they are more likely to have an underlying cardiac disease, which is a potential source of embolism in the brain.…”

Section: Discussionmentioning

confidence: 99%

“…It is known that IHS accounts for about 6.5-8.7% of the total number of strokes [1,2]. Previous studies have identified patients with IHS from the hospital-based stroke registry [3,4] or have investigated the association of specific procedures or surgeries with risk of stroke [5,6]. Although IHS may have characteristics distinct from ischaemic stroke that occurs outside of a hospital (out-of-hospital stroke; OHS), information on the characteristics of IHS, particularly in comparison with OHS, is limited.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Comparison of the characteristics for in‐hospital and out‐of‐hospital ischaemic strokes

Park

Cho

Kim

et al. 2009

Euro J of Neurology

View full text Add to dashboard Cite

Background and purpose: Patients who are being admitted to a hospital due to diseases other than stroke may develop a stroke (in-hospital stroke; IHS). Methods: We enrolled 111 consecutive patients who developed IHS outside a neurology ward during a 5-year period at a single hospital. The frequency, characteristics, and outcomes for IHS patients were compared with patients who develop ischaemic stroke outside of the hospital (out-of-hospital stroke; OHS). Results: Forty-six percent of IHS occurred in the department of cardiology or cardiovascular surgery and 60% were associated with surgery or procedures. In comparison with the OHS patient group, the IHS patient group showed an increased frequency of cardiac disease, leukocytosis, and anemia. Cardioembolism, stroke of other determined etiologies, and an incomplete evaluation were more common in the IHS group, whereas large artery atherosclerosis was more frequent in the OHS group. The IHS group had up to a 10-fold higher mortality than the OHS group, with sepsis being the most common cause of death in the IHS group. Conclusions: IHS has distinct etiologies and stroke mechanisms from OHS. The prevention and management of infection could decrease mortality in IHS patients.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Comparison of the characteristics for in‐hospital and out‐of‐hospital ischaemic strokes

Park

Cho

Kim

et al. 2009

Euro J of Neurology

View full text Add to dashboard Cite

show abstract

“…2 Insidensi yang rendah menjadikan sulitnya penilaian terhadap prediktor dan implikasi klinis dari komplikasi mayor terkait PCI. 2,3 Prosedur PCI yang dilakukan pada kasus SKA menyebabkan peningkatan risiko komplikasi serebrovaskuler dan komplikasi secara umum. Komplikasi neurologis pasca prosedur PCI jarang terjadi namun berkaitan dengan mortalitas dan morbiditas yang tinggi, serta memberi dampak yang sangat besar terhadap prognosis dan kualitas hidup pasien.…”

Section: Abstrakunclassified

“…Mortalitas stroke peri-intervensi berkisar antara 22,7-37%. 2,3 Sebagian besar stroke yang terjadi periprosedural terjadi dalam 24 jam pertama pasca menjalani prosedur PCI, namun pasien yang mengalami emboli berukuran kecil seringkali asimptomatik dan tidak disadari oleh ahli jantung. Stroke yang diakibatkan prosedur PCI melibatkan sirkulasi anterior dan posterior dengan proporsi yang sama, meskipun stroke umumnya mengenai sirkulasi anterior.…”

Section: Abstrakunclassified

“…Efek merugikan dari penggunaan heparin tersebut ditunjukkan pada observasi peningkatan stroke perdarahan diantara pasien yang mendapatkan terapi standar serta penggunaan antikoagulan sebagai terapi tambahan dalam kurun waktu 30 hari. 3 Selain kejadian stroke, komplikasi terkait prosedur PCI di sistem serebrovaskular dapat berupa contrast-induced encephalopathy (CIE).…”

Section: Abstrakunclassified

See 1 more Smart Citation

Gambaran Defisit Neurologis Pasien Sindrom Koroner Akut Pasca Tindakan Percutaneous Coronary Intervention

Tamaroh¹,

Asmedi²,

Setyopranoto³

2018

CallNeuroJ

View full text Add to dashboard Cite

Latar Belakang: Komplikasi neurologis pasca tindakan Percutaneous Coronary Intervention (PCI) jarang terjadi, namun berkaitan dengan mortalitas dan morbiditas tinggi. Defisit neurologis berupa gangguan gaya berjalan dan cacat visual akibat infark lobus oksipital dan serebelar paling sering terjadi, dan terkadang tidak disadari oleh para ahli jantung. Tujuan: Untuk mengetahui gambaran defisit neurologis yang terjadi pada pasien Sindrom Koroner Akut (SKA) setelah tindakan PCI di Rumah Sakit Umum Pusat (RSUP) Dr Sardjito. Metode: Studi deskriptif data rekam medis pasien SKA yang mengalami defisit neurologis saat dan pasca prosedur PCI yang dikonsulkan ke Bagian Neurologi RSUP Dr. Sardjito pada Januari 2016 hingga Juni 2017. Hasil: Sebanyak 1.409 pasien yang menjalani prosedur PCI hanya 34 (2,4%) pasien yang mengalami defisit neurologis dan didiagnosis sebagai stroke. Diagnosis terbanyak adalah stroke infark pada 33 (97,1%) pasien. Sebanyak 25 (73,5%) pasien mengeluhkan gejala multipel sedangkan 9 (26,5%) bergejala tunggal. Defisit neurologis tersering adalah defisit motorik (25 pasien) dan penurunan kesadaran (11 pasien). Pemeriksaan Computed Tomography (CT)-scan kepala menunjukkan lesi multipel pada 21 (61,8%) pasien. Lokasi lesi terbanyak terjadi di lobus parietalis pada 11 pasien. Sirkulasi anterior (74%) lebih banyak terlibat dibandingkan sirkulasi posterior (26%). Simpulan: Defisit neurologis setelah tindakan PCI bervariasi, terbanyak adalah defisit motorik dan penurunan kesadaran. defisit neurologis, stroke, sindrom koroner akut, percutaneous coronary intervention

show abstract

Ischemic Strokes After Cardiac Catheterization

Khatri¹,

Kasner²

2006

Arch Neurol

View full text Add to dashboard Cite

troke is an important complication after cardiac catheterization procedures, resulting in death and disability for thousands of patients each year. Common risk factors include advanced age, vascular comorbidities, and more complicated and invasive procedures. Several lines of evidence suggest that these strokes are embolic, from either dislodgement of a clot or atheromatous debris off the aortic arch or from thrombus formation on the tip of a guide catheter. These strokes are likely amenable to thrombolysis, although the current literature regarding the use of thrombolysis in this setting is limited to case reports and series. Whether thrombolysis is safe and efficacious remains to be determined, but the existing evidence seems favorable for individual circumstances.

show abstract

Stroke Complicating Percutaneous Coronary Interventions

Abstract: Background-Stroke associated with percutaneous coronary intervention (PCI) is an infrequent although devastating complication. We investigated the incidence, predictors, and prognostic impact of periprocedural stroke in unselected patients undergoing PCI.

Cited by 191 publications

References 26 publications

Comparison of the characteristics for in‐hospital and out‐of‐hospital ischaemic strokes

Comparison of the characteristics for in‐hospital and out‐of‐hospital ischaemic strokes

Gambaran Defisit Neurologis Pasien Sindrom Koroner Akut Pasca Tindakan Percutaneous Coronary Intervention

Ischemic Strokes After Cardiac Catheterization

Contact Info

Product

Resources

About