Characteristics, treatment, and outcomes of periprocedural cerebrovascular accidents during electrophysiologic procedures
| العنوان: | Characteristics, treatment, and outcomes of periprocedural cerebrovascular accidents during electrophysiologic procedures |
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| المؤلفون: | Mohamed Kanj, Patrick J. Tchou, Ayman A. Hussein, Walid Saliba, Bruce D. Lindsay, Oussama M. Wazni, George Thomas, Serge C. Harb, Valeria E. Duarte, Bryan Baranowski, Georges N. Nakhoul, Mandeep Bhargava, Thomas Callahan, Thomas Dresing, Andrea Natale |
| المصدر: | Journal of Interventional Cardiac Electrophysiology. 37:41-46 |
| بيانات النشر: | Springer Science and Business Media LLC, 2012. |
| سنة النشر: | 2012 |
| مصطلحات موضوعية: | Male, Cardiac Catheterization, medicine.medical_treatment, Risk Assessment, Reperfusion therapy, Physiology (medical), medicine, Humans, Survival rate, Stroke, Survival analysis, Aged, Ohio, Retrospective Studies, Cardiac catheterization, business.industry, Incidence, Incidence (epidemiology), Retrospective cohort study, Middle Aged, medicine.disease, Survival Analysis, Survival Rate, Catheter, Treatment Outcome, Anesthesia, Female, Electrophysiologic Techniques, Cardiac, Cardiology and Cardiovascular Medicine, business |
| الوصف: | We sought to identify the characteristics, treatment, and outcomes of periprocedural cerebrovascular accident (PCVA) during electrophysiologic (EP) procedures. Periprocedural cerebrovascular accident is one of the most feared complications during EP procedures with very few data regarding its characteristics, management, and outcomes. Between January 1998 and December 2008, we reviewed 30,032 invasive EP procedures for PCVA occurrence and characteristics. Management and outcomes were also determined. Thirty-eight CVAs were identified. Twenty (53 %) were intraprocedural and 18 (47 %) postprocedural. Thirty-two (84 %) were classified as strokes and six (16 %) as transient ischemic attacks. All CVAs except one (37, 97 %) were ischemic and the vast majority occurred during ablation procedures (36, 95 %). Among the 31 patients with ischemic stroke, 11 (35 %) were treated with reperfusion (eight catheter-based therapy and three intravenous t-PA) of whom five (46 %) had complete recovery, three (27 %) had partial recovery, and three (27 %) had no recovery. No hemorrhagic transformations occurred. Periprocedural cerebrovascular accident during EP procedures is rare and is almost always ischemic. It occurs more frequently during ablation procedures. Reperfusion therapy is feasible and safe. |
| تدمد: | 1572-8595 1383-875X |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::bec880f293e1f4059cecdccbbdc20863 https://doi.org/10.1007/s10840-012-9766-2 |
| حقوق: | CLOSED |
| رقم الأكسشن: | edsair.doi.dedup.....bec880f293e1f4059cecdccbbdc20863 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15728595 1383875X |
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