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관상동맥 조영술 후 좌측 추골동맥 색전성 경색: 증례보고

Left Vertebral Artery Embolic Stroke after Coronary Angiography : Case Report

대한노인재활의학회지 2020년 10권 1호 p.33 ~ 38
김정인, 강정중, 박승우, 김태희, 박동순, 김동규,
소속 상세정보
김정인 ( Kim Jung-In ) - Konkuk University Chungju Hospital Department of Rehabilitation Medicine
강정중 ( Kang Jung-Joong ) - Konkuk University Chungju Hospital Department of Rehabilitation Medicine
박승우 ( Paek Sung-Woo ) - Konkuk University Chungju Hospital Department of Rehabilitation Medicine
김태희 ( Kim Tae-Hee ) - Konkuk University Chungju Hospital Department of Rehabilitation Medicine
박동순 ( Park Dong-Sun ) - Konkuk University Chungju Hospital Department of Neurosurgery
김동규 ( Kim Dong-Kyu ) - Konkuk University Chungju Hospital Department of Rehabilitation Medicine

Abstract


The use of an invasive therapeutic method, coronary angiography (CAG) and transfemoral cerebral angiography (TFCA) have recently increased in stroke patients. The symptomatic central nervous system complication rate after CAG is reported 0.1 to 1%. Because of anatomic reasons, reports of embolic stroke of vertebral artery are rare. We experienced a patient with a right basal ganglia lacunar infarction that recurred left vertebral artery embolic stroke after undergoing CAG as a diagnostic tool. The patient presented with motor weakness and dizziness with aggravated dysarthria after CAG. The embolic type of multifocal cerebellar and pontine infarction was diagnosed with diffusion weighted MRI. CAG is a popular modality because it’s less invasive for investigating cardiac vessels. But clinicians should remind and evaluate individual variables of vessels and embolic potentials before procedure. And it will help to reduce complications may occur when performing invasive methods such as CAG and TFCA.

키워드

Coronary angiography; Embolic stroke; Vertebral artery

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