Intra-arterial thrombolysis for left middle cerebral artery embolic stroke during percutaneous mitral commissurotomy

Catheter Cardiovasc Interv. 2004 Jun;62(2):249-51. doi: 10.1002/ccd.20043.

Abstract

Cerebral thromboembolism is a serious complication. Early recognition and rapid reperfusion can prevent long-term neurological morbidity. We report a case of successful intra-arterial thrombolysis for middle cerebral artery embolic stroke during percutaneous mitral commissurotomy, which resulted in complete neurological recovery.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Anticoagulants / therapeutic use
  • Cerebral Angiography
  • Echocardiography, Transesophageal
  • Female
  • Heart Valve Prosthesis Implantation*
  • Heparin / therapeutic use
  • Humans
  • Infarction, Middle Cerebral Artery / diagnostic imaging
  • Infarction, Middle Cerebral Artery / drug therapy*
  • Infarction, Middle Cerebral Artery / etiology*
  • Infusions, Intra-Arterial
  • Intraoperative Complications / diagnostic imaging
  • Intraoperative Complications / drug therapy*
  • Intraoperative Complications / etiology*
  • Mitral Valve Stenosis / diagnostic imaging
  • Mitral Valve Stenosis / surgery*
  • Plasminogen Activators / therapeutic use*
  • Thrombolytic Therapy*
  • Tomography, X-Ray Computed
  • Urokinase-Type Plasminogen Activator / therapeutic use*

Substances

  • Anticoagulants
  • Heparin
  • Plasminogen Activators
  • Urokinase-Type Plasminogen Activator