Elsevier

JACC: Case Reports

Volume 2, Issue 15, December 2020, Pages 2394-2396
JACC: Case Reports

Mini-Focus Issue: Heart Failure
Imaging Vignette: Clinical Vignette
Extended Pseudo-Subarachnoid Hemorrhage Post-Percutaneous Coronary Intervention

https://doi.org/10.1016/j.jaccas.2020.06.032Get rights and content
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Abstract

We report the case of an extended pseudo-subarachnoid hemorrhage (PSAH) related to contrast intracerebral diffusion from blood-brain barrier breakdown on periprocedural percutaneous coronary intervention right corticofrontal ischemic stroke. PSAH is a rare and complex phenomenon, and it is important to differentiate PSAH from subarachnoid hemorrhage to avoid inappropriate treatment with potentially severe consequences. (Level of Difficulty: Beginner.)

Key Words

ischemic stroke
no-reflow phenomenon
percutaneous coronary intervention
pseudo-subarachnoid hemorrhage

Abbreviations and Acronyms

CT
computed tomography
MRI
magnetic resonance imaging
PCI
percutaneous coronary intervention
PSAH
pseudo-subarachnoid hemorrhage

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© 2020 The Authors. Published by Elsevier on behalf of the American College of Cardiology Foundation.