Phuyal Subash, Paudel Raju, Agrawal Pooja, Lamsal Ritesh
Department of Neuroimaging and Interventional Neuroradiology, Grande International Hospital, Kathmandu, Nepal.
Department of Neurology, Grande International Hospital, Kathmandu, Nepal.
J Surg Case Rep. 2021 Jun 29;2021(6):rjab269. doi: 10.1093/jscr/rjab269. eCollection 2021 Jun.
Catheter ablation is a commonly performed procedure in patients with Wolff-Parkinson-White syndrome. A 56-year-old man developed an acute ischemic stroke immediately after undergoing radiofrequency catheter ablation of the left-sided accessory pathway. Neuroimaging revealed complete occlusion of the proximal middle cerebral artery. Mechanical thrombectomy (MT) was performed with successful retrieval of the thrombo-embolus. Histopathological examination of the thrombo-embolus confirmed organic cardiac tissue. The patient was later discharged from the hospital with no neurologic deficit. There is no report of successful MT in patients with large-vessel occlusion because of the embolization of cardiac tissue after catheter ablation. This report highlights the need to remain vigilant for signs of stroke after any cardiac intervention.
导管消融术是预激综合征患者常用的治疗方法。一名56岁男性在接受左侧旁路途径的射频导管消融术后立即发生急性缺血性卒中。神经影像学检查显示大脑中动脉近端完全闭塞。进行了机械取栓术（MT），成功取出血栓栓子。血栓栓子的组织病理学检查证实为心脏组织。该患者后来出院，无神经功能缺损。目前尚无关于导管消融术后心脏组织栓塞导致大血管闭塞患者成功进行MT的报道。本报告强调在任何心脏介入治疗后都需要警惕卒中迹象。
