Periprocedural Stroke and Cardiac Catheterization

Periprocedural stroke and cardiac catheterization.

Case presentation: During cardiac catheterization, a 65-year-old man suddenly complained of nuchal pain, vertigo, and nausea and rapidly became unconscious, presumably from a stroke. The operator was unsure what type of imaging and management should be undertaken in this infrequent clinical setting. He paged the neurologist, asking him to urgently provide a strategy for diagnosis and management.

Prediction of Stroke After Cardiac Catheterization: No Reason, No Stroke

Therapy and Prevention Cardiac Catheterization

We suspected that patients with severe chronic heart failure may show hemodynamic changes after cardiac catheterization in the absence of drug therapy that could complicate assessment of the hemodynamic effects of new vasodilator and inotropic agents. To evaluate this phenomenon prospectively, hemodynamic variables were measured in 21 patients with heart failure 30 min and 2, 6, 24, and (in 12 ...

Interventional cardiac catheterization.

Over the past decade, transcatheter interventions have become increasingly important in the treatment of patients with congenital heart lesions. These procedures may be broadly grouped as dilations (e.g., septostomy, valvuloplasty, angioplasty, and endovascular stenting) or as closures (e.g., vascular embolization and device closure of defects). Balloon valvuloplasty has become the treatment of...

Complications of Cardiac Catheterization

Because all cardiac catheterizations involve the insertion of foreign objects (i.e., cardiac catheters) into the circulatory system, it should not be surprising that a variety of adverse events (complications) can ensue. These complications range from minor problems with no long-term sequelae (e.g., transient bradycardia during coronary contrast injection) to major problems [e.g., cardiac perfo...