Konvansiyonel Koroner Anjiografi Sonrası Nadir Bir Komplikasyon: Sol homonim Hemianopsi

Koroner arter hastalığının tanısında konvansiyonel koroner anjiografi altın standart olarak kabul edilmektedir. Ancak tanısal veya girişimsel amaçlı koroner anjiografi sırasında serebrovasküler olay gerçekleşebilir. Bu durum hastaya ait risklere veya işlemin invaziv olmasına bağlıdır. Hastada yaygın aterosklerotik damar hastalığı, kalsifik veya mural trombüs içeren aort anevrizması ya da inflamatuvar aortit gibi patolojilerden biri varsa ateroembolizm için risk oluşturur. Bu yazıda tanısal amaçlı koroner anjiografiden sonra sol homonim hemianopsi bulgusuyla beyin BT’de serebral enfarktüs tanısı konan olgu sunuldu.

Anahtar Kelimeler:

Görme, beyin, enfarkt, koroner, anjiografi

A Rare Complication After Conventional Coronary Angiography: Left Homonymous Hemianopia

In coronary artery disease, coronary angiography is considered as a golden standard diagnostic tool. But, during diagnostic or interventional procedure of coronary angiography, cerebrovascular accidents may occur due to the procedure itself or risk factors related to the patient, mainly when the patient has diffuse atherosclerosis, aortic aneurysm with calcification, mural thrombosis or inflammatory aortitis. In this case report, we will present a case of left homonymous hemianopsia HH occurred after diagnostic coronary angiography and identified by CT-Scan which showed a cerebral infarction.

Keywords:

Vision, brain, infarction, coronary, angiography,

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1. Sankaranarayanan R, Msairi A, Davis GK. Stroke complicating cardiac catheterization–a preventable and treatable complication. J Invasive Cardiol. 2007;19:40–5.
2. Jurga J, Nyman J, Tornvall P, Mannila MN, Svenarud P, van der Linden J, Sarkar N. Cerebral Microembolism During Coronary Angiography: A Randomized Comparison. Stroke. 2011;42:1475-7.
3. Azarpazhooh MR, Chambers BR. Clinical application of transcranial Doppler monitoring for embolic signals. J Clin Neurosci. 2006;13:799–810.
4. Hamon M, Lipiecki J, Carrié D, Burzotta F, Durel N, Coutance G, Boudou N, Colosimo C, Trani C, Dumonteil N, Morello R, Viader F, Claise B, Hamon M. Silent cerebral infarcts after cardiac catheterization: A randomized comparison of radial and femoral approaches. Am Heart J. 2012;164:449-54.
5. Keklikoglu HD, Yoldas TK, Coruh Y. A case report of bilateral superior altitudinal hemianopia with cerebral infarction. Neurologist. 2010;16:132-5.
6. Güler S, Keleş A, Demircan A, Cumali Doğru, Gülşah Yavuz. Occipital Infarcts Presenting with Isolated Temporal Vision Loss: A Report of Two Cases and Review of the Literature. Turk J Emerg Med. 2011;11:28-31
7. Gilhotra JS, Mitchell P, Healey PR, Cumming RG, Currie J. Homonymous visual field defects and stroke in an older population. Stroke. 2002;33:2417-20.
8. Kansu T. [Brain and Vision]. Turkish Journal of Neurology. 2004;10: 85-91.
9. Nelles G, Widman G, de Greiff A, Meistrowitz A, Dimitrova A, Weber J, Forsting M, Esser J, Diener HC. Brain representation of hemifield stimulation in poststroke visual field defects. Stroke. 2002;33:1286-93.