Simultaneous cardio-cerebral embolization associated with atrial fibrillation: a case report.
Soichiro AbeKanta TanakaHiroshi YamagamiKazutaka SonodaHiroya HayashiShuichi YonedaKazunori ToyodaMasatoshi KogaPublished in: BMC neurology (2019)
As seen in the present case, CCI may benefit from immediate treatment with intravenous tissue plasminogen activator (IV-tPA). Although which of percutaneous coronary intervention or cerebral thrombectomy should be performed first remains unclear, we must decide whether to rescue the brain or heart first in each patient within a limited window of time. This dilemma has recently become evident in this era with mechanical thrombectomy strongly established as an effective intervention for acute ischemic stroke. Close cooperation between stroke physicians and cardiologists is becoming more important.
Keyphrases
- acute ischemic stroke
- atrial fibrillation
- percutaneous coronary intervention
- cerebral ischemia
- subarachnoid hemorrhage
- left atrial
- catheter ablation
- oral anticoagulants
- heart failure
- randomized controlled trial
- left atrial appendage
- direct oral anticoagulants
- acute myocardial infarction
- st segment elevation myocardial infarction
- primary care
- st elevation myocardial infarction
- acute coronary syndrome
- neuropathic pain
- coronary artery disease
- coronary artery bypass grafting
- antiplatelet therapy
- brain injury
- white matter
- high dose
- resting state
- blood brain barrier
- spinal cord injury
- cerebral blood flow
- multiple sclerosis
- replacement therapy
- spinal cord