Stroke caused by carotid artery dissection during ablation of atrial arrhythmia

摘要

A?55-year-old woman was admitted to the Cardiology Department due to a?poorly tolerated attack of tachyarrhythmia. The patient was enrolled in the electrophysiology study (EPS) study with radiofrequency ablation (RF). After a?few applications, during transseptal puncture, the patient demonstrated a?neurological syndrome in the form of progressive aphasia and weakness in the right extremities. Computed tomography angiography showed dissection of the left common carotid artery and internal carotid artery with a?thrombus within their lumen. Intravenous thrombolytic therapy was initiated, which resulted in an improvement in the patient’s neurological status.