Stroke caused by carotid artery dissection during ablation of atrial arrhythmia

A 55-year-old woman was admitted to the Cardiology Department due to a poorly tolerated attack of tachyarrhythmia. The patient was enrolled in the electrophysiology study (EPS) study with radiofrequency ablation (RF). After a few applications, during transseptal puncture, the patient demonstrated a...

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Detalles Bibliográficos
Autores principales: Raczak, Maciej, Lasek-Bal, Anetta, Hoffmann, Andrzej, Mizia-Stec, Katarzyna, Czapska, Anita, Wnuk-Wojnar, Anna M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Termedia Publishing House 2014
Materias:
Special Paper
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4108737/
https://www.ncbi.nlm.nih.gov/pubmed/25061459
http://dx.doi.org/10.5114/pwki.2014.43519
Descripción
Sumario:A 55-year-old woman was admitted to the Cardiology Department due to a poorly tolerated attack of tachyarrhythmia. The patient was enrolled in the electrophysiology study (EPS) study with radiofrequency ablation (RF). After a few applications, during transseptal puncture, the patient demonstrated a neurological syndrome in the form of progressive aphasia and weakness in the right extremities. Computed tomography angiography showed dissection of the left common carotid artery and internal carotid artery with a thrombus within their lumen. Intravenous thrombolytic therapy was initiated, which resulted in an improvement in the patient's neurological status.

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