Stent implantation into intracranial part of internal carotid artery in a patient with recurrent stroke, atrial fibrillation and iatrogenic bleeding during anticoagulant therapy
نویسندگان
چکیده
Cardiovascular diseases are the leading cause of stroke. We present a 45-year-old woman with left hemisphere stroke, in which two sources of cerebral embolism were detected: atrial fibrillation and stenosis of intracranial part of left internal carotid artery. Oral anticoagulant therapy was used. The patient was qualified for intracranial revascularization. During anticoagulant therapy iatrogenic bleeding and then left hemisphere stroke occurred. Ultimately, the stent was implanted into the intracranial part of the internal carotid artery. Due to atrial fibrillation the patient is qualified for percutaneous closure of the left atrial appendage.
منابع مشابه
Anticoagulant and Antiplatelet Therapy in Patients with Atrial Fibrillation and Coronary Artery Disease
Anticoagulation represents the mainstay of therapy for most patients with atrial fibrillation. Patients on oral anticoagulation often require concomitant antiplatelet therapy, mostly because of coronary artery disease. After coronary stent implantation, dual antiplatelet therapy is necessary. However, the combination of oral anticoagulation and antiplatelet therapy increases the bleeding risk. ...
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