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  • Cardiac procedures are being performed on an increasingly aged population, often with significant medical comorbidities, such as aging, depression, mild.
  • In this article, the authors review the incidence and mechanisms of various procedure-related nervous system injuries, with an emphasis on stroke.
  • Read ICE Magazine March 2022 by MD Publishing on Issuu and browse thousands of other publications on our platform.

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    Cardiac catheterization: neurologic complications …

    Introduction

    Overview

    Neurologic complications following diagnostic cardiac catheterization and percutaneous coronary interventions occur infrequently but are likely to be encountered by the practicing neurologist. In this article, the authors review the incidence and mechanisms of various procedure-related nervous system injuries, with an emphasis on stroke. Various coronary stent types and requirements for antithrombotic therapy to maintain stent patency have a significant implication on bleeding risk, especially intracranially. This risk is further magnified when the patient requires both anticoagulant therapy and dual antiplatelet therapy. The effects of acute kidney injury, which may be caused by radiographic contrast, as well as the potential impact of chronic renal failure on procedural stroke are discussed. Catheter arterial access locations, their risks, and potential benefits as well as peripheral nervous system complications of such are reviewed.

    Key points

    • Cardiac catheterization is successfully performed in large numbers of patients worldwide for both diagnostic and therapeutic purposes.

    • Neurologic complications involving both the central and peripheral nervous systems, although infre

  • medlink mr credo biography

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