{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,6]],"date-time":"2026-03-06T04:05:56Z","timestamp":1772769956399,"version":"3.50.1"},"reference-count":19,"publisher":"BMJ","issue":"6","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2020,5,30]]},"published-print":{"date-parts":[[2020,6]]},"abstract":"<jats:p>Acute ischaemic stroke is a known risk of percutaneous coronary intervention (PCI). The incidence of such complications has increased in frequency over the last decade due to higher comorbidity burden and increased complexity of PCI procedures. The overall incidence of post-PCI ischaemic stroke remains low at 0.56%, but some groups of patients have significantly higher risk. Risk factors include atherosclerotic plaques, atrial fibrillation, cardiogenic shock, older age and arterial disease. Although the overall incidence of acute ischaemic stroke following PCI is low, it can result in lifelong disability and is associated with high morbidity, mortality and significant costs. Spinal infarctions due to PCI are exceedingly rare. Here, we discuss a 71-year-old woman who presented with a non ST-elevation myocardial infarction and developed both stroke and spinal infarction post PCI due to a thromboembolic event resulting in long-term debility.<\/jats:p>","DOI":"10.1136\/bcr-2020-234804","type":"journal-article","created":{"date-parts":[[2020,6,30]],"date-time":"2020-06-30T15:10:42Z","timestamp":1593529842000},"page":"e234804","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Stroke and spinal infarct caused by percutaneous coronary intervention"],"prefix":"10.1136","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5143-1431","authenticated-orcid":false,"given":"Jeffrey","family":"Spindel","sequence":"first","affiliation":[{"name":"Internal Medicine, University of Louisville, Louisville, Kentucky, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dipan","family":"Karmali","sequence":"additional","affiliation":[{"name":"Internal Medicine, University of Louisville, Louisville, Kentucky, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elizabeth","family":"Chen","sequence":"additional","affiliation":[{"name":"College of Osteopathic Medicine, Marian University, Indianapolis, Indiana, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shahab","family":"Ghafghazi","sequence":"additional","affiliation":[{"name":"Cardiology, University of Louisville, Louisville, Kentucky, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2020,6,30]]},"reference":[{"key":"2025082802074869000_13.6.e234804.1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2019.04.015"},{"key":"2025082802074869000_13.6.e234804.2","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.0000020678.16325.E0"},{"key":"2025082802074869000_13.6.e234804.3","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2009.03.046"},{"key":"2025082802074869000_13.6.e234804.4","article-title":"Outcomes after percutaneous coronary intervention in patients with a history of cerebrovascular disease","volume":"11","author":"Song","year":"2018","journal-title":"Circulation"},{"key":"2025082802074869000_13.6.e234804.5","doi-asserted-by":"publisher","DOI":"10.1191\/1358863x05vm640ra"},{"key":"2025082802074869000_13.6.e234804.6","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(98)00497-5"},{"key":"2025082802074869000_13.6.e234804.7","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa070829"},{"key":"2025082802074869000_13.6.e234804.8","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199412013312202"},{"key":"2025082802074869000_13.6.e234804.9","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(03)00579-5"},{"key":"2025082802074869000_13.6.e234804.10","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.109.886465"},{"key":"2025082802074869000_13.6.e234804.11","doi-asserted-by":"publisher","DOI":"10.3171\/2011.4.SPINE10543"},{"key":"2025082802074869000_13.6.e234804.12","unstructured":"Centers for Disease Control and Prevention . 2020 stroke facts, 2020. Available: www.cdc.gov\/stroke\/facts.htm [Accessed 31 Jan 2020]."},{"key":"2025082802074869000_13.6.e234804.13","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000000485"},{"key":"2025082802074869000_13.6.e234804.14","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.0000111598.78198.EC"},{"key":"2025082802074869000_13.6.e234804.15","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000000152"},{"key":"2025082802074869000_13.6.e234804.16","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1080\/10790268.2010.11689680","article-title":"A rare but serious complication of percutaneous coronary intervention: spinal cord embolism","volume":"33","author":"Vatankulu","year":"2010","journal-title":"J Spinal Cord Med"},{"key":"2025082802074869000_13.6.e234804.17","doi-asserted-by":"crossref","first-page":"S5","DOI":"10.1038\/sc.2014.80","article-title":"Spinal cord infarction as a complication of percutaneous coronary intervention","volume":"52","author":"Kaya","year":"2014","journal-title":"Spinal Cord"},{"key":"2025082802074869000_13.6.e234804.18","doi-asserted-by":"crossref","unstructured":"Barrera S , Barca-Buyo A , Ferreiro-Velasco M , et al . Spinal cord infarction: prognosis and recovery in a series of 36 patients. Spinal Cord 2001:39.","DOI":"10.1038\/sj.sc.3101201"},{"key":"2025082802074869000_13.6.e234804.19","doi-asserted-by":"crossref","first-page":"896","DOI":"10.1161\/01.STR.24.6.896","article-title":"Spinal infarction. 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