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Case: Acute Stroke Intervention With a Large Thrombotic Burden

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Book cover Handbook Of Complex Percutaneous Carotid Intervention

Part of the book series: Contemporary Cardiology ((CONCARD))

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Abstract

A 69-yr-old man presented with new-onset atrial fibrillation, complaining of shortness of breath. His past medical history is significant for coronary artery disease, ischemic cardiomyopathy (ejection fraction 15%), diabetes mellitus, and hypertension. He was admitted to hospital and started on intravenous heparin. The day after admission, he developed right hemiplegia with deviation of his eyes to the left. Immediate noncontrast brain computed tomography (CT) showed remote left cerebellar infarct but no evidence of acute intracranial abnormality. However, brain magnetic resonance imaging (MRI) showed extensive cortical and basal ganglia subacute infarction involving two thirds of the left middle cerebral artery (MCA) territory. Therefore, he underwent urgent cerebral angiography at 6 h after symptom onset.

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© 2007 Humana Press Inc., Totowa, NJ

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Saw, J. (2007). Case: Acute Stroke Intervention With a Large Thrombotic Burden. In: Saw, J., Exaire, J.E., Lee, D.S., Yadav, J.S. (eds) Handbook Of Complex Percutaneous Carotid Intervention. Contemporary Cardiology. Humana Press. https://doi.org/10.1007/978-1-59745-002-7_21

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  • DOI: https://doi.org/10.1007/978-1-59745-002-7_21

  • Publisher Name: Humana Press

  • Print ISBN: 978-1-58829-605-4

  • Online ISBN: 978-1-59745-002-7

  • eBook Packages: MedicineMedicine (R0)

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