학술논문

Ischaemic stroke as a complication of cardiac catheterisation. Clinical and radiological characteristics, progression, and therapeutic implications
Document Type
article
Source
Neurología (English Edition), Vol 37, Iss 3, Pp 184-191 (2022)
Subject
Ictus isquémico
Cateterismo cardíaco
Ictus intrahospitalario
Tratamiento endovascular
Pronóstico funcional
Mortalidad
Neurology. Diseases of the nervous system
RC346-429
Language
English
ISSN
2173-5808
Abstract
Introduction: Ischaemic stroke is the most common neurological complication of cardiac catheterisation. This study aims to analyse the clinical and prognostic differences between post-catheterisation stroke code (SC) and all other in-hospital and prehospital SC. Methods: We prospectively recorded SC activation at our centre between March 2011 and April 2016. Patients were grouped according to whether SC was activated post-catheterisation, in-hospital but not post-catheterisation, or before arrival at hospital; groups were compared in terms of clinical and radiological characteristics, therapeutic approach, functional status, and three-month mortality. Results: The sample included 2224 patients, of whom 31 presented stroke post-catheterisation. Baseline National Institutes of Health Stroke Scale score was lower for post-catheterisation SC than for other in-hospital SC and pre-hospital SC (5, 10, and 7, respectively; P = .02), and SC was activated sooner (50, 100, and 125 minutes, respectively; P