Brain Circulation

CASE REPORT
Year
: 2022  |  Volume : 8  |  Issue : 1  |  Page : 61--63

Multiple watershed and cardioembolic strokes in 84-year-old male after cardiac ablation procedure: Case report


Denis Babici1, Angel Bayas1, Phillip Johansen1, Sadia Waheed1, Pamraj Sharma1, Octavio Carranza-Renteria1, Khalid A Hanafy2 
1 Department of Neurology, Florida Atlantic University Charles E. Schmidt College of Medicine, Florida, USA
2 Department of Neurocritical Care, Marcus Neuroscience Institute, Boca Raton, Florida, USA

Correspondence Address:
Denis Babici
Department of Neurology, Florida Atlantic University Charles E. Schmidt College of Medicine, Boca Raton, Florida
USA

Current guidelines do not include radiologic assessment of the carotid arteries before catheter ablation procedures. There are multiple studies describing the risks of periprocedural cardioembolic strokes during cardiac ablation procedure but none describing the risks of periprocedural watershed strokes due to hypoperfusion during cardiac ablation. It is critically important for neurologists, cardiologists, and all other associated health-care workers to recognize the risks of neurologic complications, such as watershed strokes, before cardiac procedures are performed. We are presenting an 84-year-old male who presented to the emergency room with complaints of vision changes after a cardiac ablation procedure for atrial fibrillation. He described spotty vision with decreased visual acuity in both eyes. Magnetic resonance imaging of the brain showed multiple strokes bilaterally. Based on the radiologic features, all the strokes happened at approximately the same time. Of note, subsequent computed tomography angiography of the head and neck showed 65%–70% bilateral stenosis of the internal carotid arteries.


How to cite this article:
Babici D, Bayas A, Johansen P, Waheed S, Sharma P, Carranza-Renteria O, Hanafy KA. Multiple watershed and cardioembolic strokes in 84-year-old male after cardiac ablation procedure: Case report.Brain Circ 2022;8:61-63


How to cite this URL:
Babici D, Bayas A, Johansen P, Waheed S, Sharma P, Carranza-Renteria O, Hanafy KA. Multiple watershed and cardioembolic strokes in 84-year-old male after cardiac ablation procedure: Case report. Brain Circ [serial online] 2022 [cited 2022 Jun 25 ];8:61-63
Available from: http://www.braincirculation.org/article.asp?issn=2394-8108;year=2022;volume=8;issue=1;spage=61;epage=63;aulast=Babici;type=0