eISSN: 1897-4295
ISSN: 1734-9338
Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej
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SCImago Journal & Country Rank
2/2014
vol. 10
 
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abstract:

Special paper
Stroke caused by carotid artery dissection during ablation of atrial arrhythmia

Maciej Raczak
,
Anetta Lasek-Bal
,
Andrzej Hoffmann
,
Katarzyna Mizia-Stec
,
Anita Czapska
,
Anna M. Wnuk-Wojnar

Postep Kardiol Inter 2014; 10, 2 (36): 119–122
Online publish date: 2014/06/26
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A 55-year-old woman was admitted to the Cardiology Department due to a poorly tolerated attack of tachyarrhythmia. The patient was enrolled in the electrophysiology study (EPS) study with radiofrequency ablation (RF). After a few applications, during transseptal puncture, the patient demonstrated a neurological syndrome in the form of progressive aphasia and weakness in the right extremities. Computed tomography angiography showed dissection of the left common carotid artery and internal carotid artery with a thrombus within their lumen. Intravenous thrombolytic therapy was initiated, which resulted in an improvement in the patient’s neurological status.
keywords:

dissection of carotid artery, stroke, ablation

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