2,121 results match your criteria Paradoxical Embolism


Effects of Perioperative Venous Thromboembolism on Outcomes in Soft Tissue Reconstruction of Traumatic Lower Extremity Injuries.

Ann Plast Surg 2019 Mar 12. Epub 2019 Mar 12.

From the Division of Plastic and Reconstructive Surgery, Keck School of Medicine of USC, Los Angeles, CA.

Background: Venous thromboembolism (VTE), including deep vein thrombosis and pulmonary embolism, represents a significant perioperative complication. However, the outcomes of lower extremity salvage in the setting of perioperative VTE are not well reported.

Methods: A retrospective review of lower extremity trauma patients requiring soft tissue reconstruction between July 2007 and December 2015 at an urban trauma center was performed. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/SAP.0000000000001871DOI Listing

Percutaneous transcatheter closure of high-risk patent foramen ovale in the elderly.

Heart Vessels 2019 Mar 13. Epub 2019 Mar 13.

Department of Cardiology, Tokushima Red Cross Hospital, 103 Irinokuchi, Komatsushima-cho, Komatsushima, Tokushima, 773-8502, Japan.

The efficacy of percutaneous transcatheter closure for preventing recurrent cerebrovascular events in elderly patients with high-risk patent foramen ovale (PFO) remains unclear, whereas in young patients, it has been shown to effectively prevent the recurrence of embolic stroke. The aim of this study was to investigate the safety and efficacy of percutaneous PFO closure in elderly patients with high-risk PFO. Between September 2012 and October 2018, 14 patients 60 years old with high-risk PFO underwent percutaneous closure to prevent recurrence of cerebrovascular events. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00380-019-01379-0DOI Listing
March 2019
1 Read

A Case of Paradoxical Embolism Causing Anterior Spinal Cord Syndrome and Acute Myocardial Infarction Following the Intradiscal Oxygen-Ozone Therapy.

Front Neurol 2019 22;10:137. Epub 2019 Feb 22.

Hunan Clinical Research Center of Cerebrovascular Disease, Changsha, China.

We report a case of a 66-year-old female who burst into flaccid paralysis of the lower extremities, accompanied by loss of pain and temperature sensation below T4 level, during an oxygen-ozone injection for disc herniation. Half an hour later, she suffered from chest pain. Magnetic resonance imaging (MRI) showed long segment hyperintensity in the thoracic spinal cord from T2 to 10 level on sagittal T2-weighted images (T2WI). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.3389/fneur.2019.00137DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6395432PMC
February 2019

Catheter-directed aspiration thrombectomy and low-dose thrombolysis for patients with acute unstable pulmonary embolism: Prospective outcomes from a PE registry.

Int J Cardiol 2019 Feb 28. Epub 2019 Feb 28.

Respiratory Department, Hospital Ramón y Cajal and Universidad de Alcalá (IRYCIS), Madrid, Spain. Electronic address:

Objectives: To evaluate the efficacy and safety of aspiration thrombectomy in combination with low-dose catheter-directed thrombolysis for acute unstable pulmonary embolism (PE).

Background: Acute unstable (PE) is a life-threatening condition requiring treatment escalation, but many patients cannot receive full-dose systemic thrombolysis due to contraindications.

Methods: Eligible patients had a PE with sustained hypotension. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.ijcard.2019.02.061DOI Listing
February 2019
2 Reads

A Case Demonstrating the Ribaroxaban Therapy for Paradoxical Embolism.

Cardiol Res 2019 Feb 24;10(1):63-67. Epub 2019 Feb 24.

Department of Internal Medicine, Toho University Sakura Medical Center, Chiba, Japan.

A paradoxical embolism is defined as a systemic arterial embolus due to passage of a venous thrombus through a right to left shunt. In recent years, vitamin K antagonists and aspirin are used as anticoagulant medications for the secondary prevention of paradoxical embolism. We describe a case of subacute right upper limb ischemia due to paradoxical embolism. Read More

View Article

Download full-text PDF

Source
http://www.cardiologyres.org/index.php/Cardiologyres/article
Publisher Site
http://dx.doi.org/10.14740/cr840DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6396799PMC
February 2019
1 Read

Molecular Support for Heterogonesis Resulting in Sesquizygotic Twinning.

N Engl J Med 2019 02;380(9):842-849

From the School of Biomedical Sciences and the Institute of Health and Biomedical Innovation, Queensland University of Technology (M.T.G.), the School of Medicine (M.T.G., J.L., R.S.), the Institute for Molecular Bioscience (G.W.M.), and the Centre for Clinical Research (N.M.F.), University of Queensland, Genetic Health Queensland (M.T.G., P.M.), the Centre for Advanced Prenatal Care (J.L., R.S., N.M.F.), and the Department of Cytogenetics (A.N.), Royal Brisbane and Women's Hospital, and QIMR Berghofer Medical Research Institute (Y.S., G.W.M.), Brisbane, the School of Medicine, Griffith University, Gold Coast, QLD (M.T.G.), Victorian Clinical Genetics Services, Murdoch Children's Research Institute, Melbourne, VIC (T.B.), the Department of Pediatrics, University of Melbourne, Royal Children's Hospital, Parkville, VIC (T.B.), and the Faculty of Medicine, University of New South Wales, Sydney (N.M.F.) - all in Australia; and Li Ka Shing Institute of Health Sciences, Department of Chemical Pathology, Chinese University of Hong Kong, Hong Kong (P.J., H.Z., R.C.).

Sesquizygotic multiple pregnancy is an exceptional intermediate between monozygotic and dizygotic twinning. We report a monochorionic twin pregnancy with fetal sex discordance. Genotyping of amniotic fluid from each sac showed that the twins were maternally identical but chimerically shared 78% of their paternal genome, which makes them genetically in between monozygotic and dizygotic; they are sesquizygotic. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1056/NEJMoa1701313DOI Listing
February 2019
1 Read

[Paradoxical cerebral air embolism through port catheter].

Nervenarzt 2019 Feb 18. Epub 2019 Feb 18.

Dr. Senckenbergisches Institut für Neuroonkologie, Universitätsklinikum Frankfurt am Main, Goethe Universität, Frankfurt am Main, Deutschland.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00115-019-0694-6DOI Listing
February 2019
1 Read

Etiologic Evaluation of Ischemic Stroke in Young Adults: A Comparative Study between Two European Centers.

J Stroke Cerebrovasc Dis 2019 Feb 13. Epub 2019 Feb 13.

Faculdade de Medicina da Universidade de Lisboa, Lisboa, Portugal; Department of Neurosciences and Mental Health, Service of Neurology, Hospital Santa Maria-CHLN, Universidade de Lisboa, Lisboa, Portugal.

Introduction: Identifying the cause of ischemic stroke in young adults is often difficult. Our objective was to compare the etiologic diagnostic strategy for ischemic stroke in young adults between 2 European centers and investigate the influence of workup variations in the diagnosed etiologies.

Patients And Methods: We included patients aged 18-55 years admitted for ischemic stroke or transient ischemic attack to the stroke units of Santa Maria Hospital in Lisbon, Portugal, and Innsbruck University Hospital in Innsbruck, Austria, between 2014 and 2016. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jstrokecerebrovasdis.2019.01.019DOI Listing
February 2019
2 Reads

Impending Paradoxical Embolism.

Ann Thorac Surg 2019 Feb 11. Epub 2019 Feb 11.

Department of Echocardiograph, Asia Heart Hospital, Wuhan, P.R. China. Electronic address:

Impending paradoxical embolism (IPDE) is the presence of a thrombus in the patent foramen ovale (PFO). Usually, IPDE is diagnosed by echocardiography or an Multislice computer tomography (MSCT) scan and is performed during the evaluation of a patient presenting with suspected pulmonary embolism (PE). We report two patients who presented with IPDE and were successfully treated with cardiac surgery and thrombolytic therapy. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.athoracsur.2019.01.011DOI Listing
February 2019
3 Reads

Amplatzer patent foramen ovale occluder: safety and efficacy.

Expert Rev Med Devices 2019 Mar 18;16(3):173-182. Epub 2019 Feb 18.

a Department of Cardiology , University Hospital of Bern , Bern , Switzerland.

Introduction: The patent foramen ovale (PFO) is a common anatomical variant in humans (prevalence 25%). Most often asymptomatic, it may engender paradoxically embolic strokes, myocardial infarctions, or visceral or peripheral ischemia. It is causatively related to migraine, positional or exertional hypoxemia with dyspnea, diving incidents, high altitude edema, and sleep apnea. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1080/17434440.2019.1581060DOI Listing
March 2019
7 Reads

Current management aspects in adult congenital heart disease: non-surgical closure of patent foramen ovale.

Cardiovasc Diagn Ther 2018 Dec;8(6):739-753

Department of Cardiology, Royal Prince Alfred Hospital, Sydney, Australia.

A patent foramen ovale (PFO) is a remnant interatrial communication, best diagnosed with transoesophageal echocardiography (TOE) and bubble study. Although quite common and often asymptomatic, PFO is associated with cryptogenic stroke and migraine. Approximately one-half of patients with a cryptogenic stroke have a PFO, and the dilemma regarding whether or not to proceed with percutaneous device closure, to reduce the risk of future recurrent events due to paradoxical embolism, has been subject to debate for nearly two decades. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.21037/cdt.2018.09.09DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6331369PMC
December 2018
2 Reads

False-Negative Platelet Factor 4 Antibodies and Serotonin Release Assay and the Utility of Repeat Testing in the Diagnosis of Heparin-Induced Thrombocytopenia and Thrombosis.

Case Rep Hematol 2019 8;2019:1585014. Epub 2019 Jan 8.

Department of Neurointensive Care, Cerebrovascular Center, Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, Ohio 44195, USA.

Objective: To report a case of false-negative serological tests in the diagnosis of heparin-induced thrombocytopenia (HIT) followed by a brief review of the literature on this topic.

Case Presentation: A 75-year-old Caucasian female patient was admitted with a traumatic right ankle fracture that required open reduction and internal fixation. Despite postoperative subcutaneous heparin chemoprophylaxis, she developed deep vein thrombosis (DVT) and pulmonary embolism (PE) on day 4 and subsequently started on continuous heparin infusion. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1155/2019/1585014DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6341253PMC
January 2019
2 Reads

[Paradoxical embolism due to a persistent patent foramen ovale. Report of one case].

Rev Med Chil 2018 Dec;146(10):1210-1214

Unidad de ecocardiografía, Hospital Clinic, Barcelona, España.

Patent Foramen Ovale (PFO) is one of the most frequent congenital defects in adults. Its prevalence in middle-aged adults is close to 25-30% and may cause paradoxical embolic phenomena. We report a 45 years old male admitted for an ischemic stroke with an occlusion of the left terminal internal carotid artery. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4067/S0034-98872018001001210DOI Listing
December 2018
2 Reads

Pulmonary embolism with migrating thrombus through patent foramen ovale: A case for a mixed pharmacological and percutaneous management.

J Cardiol Cases 2019 Jan 27;19(1):19-21. Epub 2018 Sep 27.

Interventional Cardiology Unit, S. Ambrogio Cardio-Thoracic Center, Milan, Italy.

A 61-year-old man, admitted to our hospital for bilateral pulmonary embolism, complicated by right renal ischemia and multiple splenic infarcts due to a mobile thrombus entrapped in a patent foramen ovale, has been successfully treated with apixaban 5 mg twice daily followed by transcatheter patent foramen ovale closure. < Apixaban could be a therapeutic alternative to thrombolysis and surgery in patients with warfarin-resistant thrombus straddling in the patent foramen ovale (PFO). Furthermore, apixaban could be a simple and useful option to manage patients undergoing transcatheter PFO closure. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jccase.2018.08.007DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6342615PMC
January 2019
1 Read

Stroke in patients with cardiovascular implantable electronic device infection undergoing transvenous lead removal.

Heart Rhythm 2018 11;15(11):1593-1600

Mayo Clinic Arizona, Phoenix, Arizona. Electronic address:

Background: Stroke can be a devastating complication in patients with cardiovascular implantable electronic device (CIED) infection. Paradoxical septic embolism can occur in the presence of device leads and patent foramen ovale (PFO) via embolic dislodgment during transvenous lead removal (TLR).

Objective: The purpose of this study was to examine stroke and its associated factors in patients undergoing TLR for CIED infection. Read More

View Article

Download full-text PDF

Source
https://linkinghub.elsevier.com/retrieve/pii/S15475271183079
Publisher Site
http://dx.doi.org/10.1016/j.hrthm.2018.08.008DOI Listing
November 2018
6 Reads

Paradoxical embolism as a cause of myocardial infarction in a patient with pulmonary embolism: role of transesophageal echocardiography.

Acta Cardiol 2019 Jan 16:1-2. Epub 2019 Jan 16.

a Université libre de Bruxelles (ULB) , Cardiology Department, CHU Saint-Pierre , Brussels , Belgium.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1080/00015385.2018.1544682DOI Listing
January 2019
2 Reads

Association of Embolic Sources With Cause-Specific Functional Outcomes Among Adults With Cryptogenic Stroke.

JAMA Netw Open 2018 Sep 7;1(5):e182953. Epub 2018 Sep 7.

Department of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.

Importance: It is unknown whether poststroke outcome varies between different potential causes in patients with cryptogenic stroke.

Objective: To investigate whether functional outcome differs according to potential embolic sources after cryptogenic stroke.

Design, Setting, And Participants: This multicenter, hospital-based, prospective stroke registry cohort study investigated potential embolic sources on admission and assessed 3-month outcome in patients with ischemic stroke hospitalized at 7 stroke centers in the Fukuoka Stroke Registry. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1001/jamanetworkopen.2018.2953DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6324510PMC
September 2018
9 Reads

Anticoagulation in patients with Embolic Stroke of Unknown Source.

Authors:
J David Spence

Int J Stroke 2019 Jan 15:1747493019826363. Epub 2019 Jan 15.

Stroke Prevention & Atherosclerosis Research Centre, Robarts Research Institute, Western University, London, Canada.

When warfarin was the mainstay of anticoagulation for the prevention of cardioembolic stroke, the paradigm was essentially "we mustn't anticoagulate anyone unless we prove that the stroke was cardioembolic." Now that direct-acting oral anticoagulants are available, the paradigm should change. The risk of stroke is highest soon after the initial event, particularly in patients with more than one infarction. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1177/1747493019826363DOI Listing
January 2019
3 Reads

Pediatric Acute Paradoxical Cerebral Embolism with Pulmonary Embolism Caused by Extremely Small Patent Foramen Ovale.

Open Med (Wars) 2019 24;14:10-13. Epub 2018 Dec 24.

Division of Emergency and Critical Care Medicine, Department of Acute Medicine, Nihon University School of Medicine, 30-1 Oyaguchi Kamimachi, Itabashi-ku, Tokyo 173-8610, Japan.

Herein, we report a pediatric case of acute paradoxical cerebral embolism complicated by serious acute pulmonary embolism that was caused by an extremely small patent foramen ovale (PFO). The patient had no medical history suggestive of any other reason. Paradoxical cerebral embolism may occur even with an extremely small PFO because of the increased right-side pressure of the heart and a resulting right-to-left shunt from the acute pulmonary embolism. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1515/med-2019-0002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6310914PMC
December 2018
3 Reads

Paradoxical embolism caused by ovarian vein thrombosis extending to inferior vena cava in a female with uterine myoma.

J Cardiol Cases 2018 Dec 5;18(6):207-209. Epub 2018 Sep 5.

Department of Cardiovascular Medicine, Tokyo Medical and Dental University, Tokyo, Japan.

Deep vein thrombosis occasionally causes paradoxical embolism in patients with a patent foramen ovale (PFO). We report the case of a 42-year-old female who was hospitalized for stroke. Detailed investigations revealed the existence of a PFO, pulmonary embolism, and ovarian vein thrombosis extending to inferior vena cava. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jccase.2018.08.002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6306514PMC
December 2018
2 Reads

Concomitant embolism in the subclavian and pulmonary artery.

Rozhl Chir 2018 ;97(10):478-481

Introduction: Pulmonary embolism is a life-threatening condition that causes obstruction of the pulmonary arteries by an embolus, most often originating from the venous system of the lower limbs or pelvic veins. Depending on the extent of the embolism, an acute right-sided heart failure may result, with subsequent death. Paradoxical embolism is a condition in which a venous thrombus is embolized into the systemic circulation arteries by a right-to-left heart shunt. Read More

View Article

Download full-text PDF

Source
January 2018
3 Reads

Paradoxical Embolism in a Patient with Patent Foramen Ovale; a Case Report.

Emerg (Tehran) 2018 8;6(1):e50. Epub 2018 Aug 8.

Department of Cardiology, Shohadaye Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Patent foramen ovale (PFO) is usually asymptomatic; however, it could be quite dangerous for patients with right side clot in which thrombus can transmit the PFO and paradoxically emboli to systemic circulation. Here we present a patient with ankle fracture and paradoxical embolus to the brain, who was successfully treated with emergent thrombectomy, inferior vena cava (IVC) filter placement and anticoagulation therapy. Despite the high rate of mortality in these patients, fortunately our patient survived with surgical treatment. Read More

View Article

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6289151PMC
August 2018
5 Reads

Paradoxical McConnell's Sign: A Case Report on Right Ventricular Wall Abnormalities in Acute Pulmonary Embolism.

CASE (Phila) 2018 Dec 17;2(6):282-284. Epub 2018 Oct 17.

Department of Cardiology, Drexel University College of Medicine, Philadelphia, Pennsylvania.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.case.2018.07.012DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6302120PMC
December 2018
1 Read

Paradoxical embolism with thrombus stuck in a patent foramen ovale: a review of treatment strategies.

Eur Rev Med Pharmacol Sci 2018 Dec;22(24):8885-8890

Department of Medical Sciences, IRCCS Casa Sollievo della Sofferenza, San Giovanni Rotondo, Italy.

Objective: Paradoxical embolism represents a rare condition occurring when a thrombus originating from venous system produces pulmonary embolism and systemic embolization through an intracardiac or pulmonary shunt. The evidence of a thrombus entrapped in a patent foramen ovale (PFO) is an even more rare condition. There is uncertainty about the optimal treatment strategy. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.26355/eurrev_201812_16657DOI Listing
December 2018
3 Reads

Cryptogenic Stroke: To Close a Patent Foramen Ovale or Not to Close?

J Cent Nerv Syst Dis 2018 16;10:1179573518819476. Epub 2018 Dec 16.

Department of Medicine, The Chicago Medical School, Rosalind Franklin University, North Chicago, IL, USA.

A patent foramen ovale (PFO) has been shown to be highly prevalent in patients diagnosed with strokes of unknown cause, which are also called cryptogenic strokes (CSs). It has been a long-running controversy as to whether a PFO should be closed or not to prevent recurrent strokes in patients diagnosed with CS. A paradoxical embolism that is produced through a PFO is hypothesized to be a leading cause of CS, especially in younger patients with low risk factors for stroke. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1177/1179573518819476DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6297885PMC
December 2018
3 Reads

An unusual case of bilateral pulmonary embolism in a patient on dual venous thromboprophylaxis, secondary to heparin induced thrombocytopenia.

J Community Hosp Intern Med Perspect 2018 11;8(6):376-379. Epub 2018 Dec 11.

Department of Medicine, Pulmonary and Critical Care Division, Interfaith Medical Center, Brooklyn, NY, USA.

Heparin Induced thrombocytopenia (HIT) is a rare, immune-mediated complication of heparin, associated with both thrombocytopenia and paradoxical thrombotic events. Initial diagnosis is made clinically when platelet count falls by 30% to <100 × 10cells/l or a > 50% decrease from baseline count in association with heparin therapy. Thromboembolic complications are seen in 50% of the cases. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1080/20009666.2018.1554099DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6292353PMC
December 2018
2 Reads

Early Recurrent Ischemic Lesions in Patients With Cryptogenic Stroke and Patent Foramen Ovale: An Observational Study.

Front Neurol 2018 22;9:996. Epub 2018 Nov 22.

Klinik und Hochschulambulanz für Neurologie, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, Berlin Institute of Health, Berlin, Germany.

Randomized controlled trials indicate that patent foramen ovale (PFO) closure reduces risk of stroke recurrence in patients with cryptogenic stroke and PFO. However, the optimal time point for PFO closure is unknown and depends on the risk of stroke recurrence. We aimed to investigate risk of early new ischemic lesions on cerebral magnetic resonance imaging (MRI) in cryptogenic stroke patients with and without PFO. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.3389/fneur.2018.00996DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6262074PMC
November 2018
2 Reads

Paradoxical Thromboembolic Ischemic Stroke and Pulmonary Embolism after Uterine Fibroid Embolization.

J Vasc Interv Radiol 2018 12;29(12):1772-1775.e2

Calgary Stroke Program, Department of Clinical Neurosciences, University of Calgary, Calgary, AB T2N2T9, Canada; Department of Critical Care Medicine, University of Calgary, Calgary, AB T2N2T9, Canada.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jvir.2018.06.026DOI Listing
December 2018
2 Reads

Clinical and infarction patterns of PFO-related cryptogenic strokes and a prediction model.

Ann Clin Transl Neurol 2018 Nov 24;5(11):1323-1337. Epub 2018 Sep 24.

Department of Neurology Tongji Hospital Tongji Medical College Huazhong University of Science and Technology Wuhan Hubei China.

Objectives: The higher than expected PFO rate in CS patients has raised concerns that paradoxical embolism maybe the pathophysiologic mechanism for strokes. However, only a small proportion of pathogenic PFOs cause CS. Therefore, accurate recognition of patients with pathogenic PFOs among all CS patients could guide clinical decision making in selecting the most appropriate treatment. Read More

View Article

Download full-text PDF

Source
http://doi.wiley.com/10.1002/acn3.647
Publisher Site
http://dx.doi.org/10.1002/acn3.647DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6243387PMC
November 2018
14 Reads

Iatrogenic Paradoxical Stroke in a Patient With Catheter-Associated Thrombosis and Systemic-to-Pulmonary Venous Shunt.

J Investig Med High Impact Case Rep 2018 Jan-Dec;6:2324709618813175. Epub 2018 Nov 15.

SUNY Downstate Medical Center, Brooklyn, NY, USA.

Paradoxical embolism occurs when thrombotic material traverses a right-to-left shunt. We describe the first case of paradoxical stroke resulting from manipulation of a disused chemotherapy port. Contrast studies revealed that the mechanism was systemic-to-pulmonary venous shunt, in which systemic veins drain into the left atrium via collaterals. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1177/2324709618813175DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6243407PMC
November 2018
3 Reads

Paradoxical embolism through PFO leading to stroke in a gunshot victim with IVC injury.

J Surg Case Rep 2018 Nov 19;2018(11):rjy308. Epub 2018 Nov 19.

Department of Surgery, UAMS, 4301W Markham St, Little Rock, AR, USA.

A 23-year-old man presented to the emergency department with multiple gunshot wounds to the chest and abdomen, and was taken to the operating room emergently for exploratory laparotomy due to hemodynamic instability. The patient underwent inferior vena cava (IVC), bowel and ureter repair during the procedure, requiring massive amounts of blood products. The patient transferred to the surgical intensive care unit with a routine post-operative course for approximately the next 7 days before presenting with signs of stroke. Read More

View Article

Download full-text PDF

Source
https://academic.oup.com/jscr/article/doi/10.1093/jscr/rjy30
Publisher Site
http://dx.doi.org/10.1093/jscr/rjy308DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6240738PMC
November 2018
18 Reads

Cardiac Implantable Electronic Device Lead Thrombus as a Nidus for Pulmonary and Systemic Embolization.

JACC Clin Electrophysiol 2018 Nov;4(11):1437-1439

Department of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota; Department of Pediatric and Adolescent Medicine, Mayo Clinic, Rochester, Minnesota. Electronic address:

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jacep.2018.08.019DOI Listing
November 2018
2 Reads

Predictors of hospital discharge in cancer patients with pericardial effusion undergoing surgical pericardial drainage.

J Surg Oncol 2019 Jan 22;119(1):143-147. Epub 2018 Nov 22.

Division of Thoracic Surgery, Heart Institute (InCor), Hospital das Clinicas da Faculdade de Medicina da Universidade de Sao Paulo, São Paulo, Brazil.

Introduction: Pericardial effusion (PE) is a complication of late-stage cancer and some patients never leave the hospital despite drainage. The main objective of this study was to identify predictors of hospital discharge in cancer patients with (PE) who underwent pericardial drainage. We also report the occurrence of paradoxical hemodynamic instability (PHI). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1002/jso.25283DOI Listing
January 2019
9 Reads

Advances in Stroke Prevention.

Authors:
J David Spence

J Transl Int Med 2018 Sep 9;6(3):105-114. Epub 2018 Oct 9.

Stroke Prevention & Atherosclerosis Research Centre, Robarts Research Institute, Western University, London, Canada.

There have been recent advances in stroke prevention in nutrition, blood pressure control, antiplatelet therapy, anticoagulation, identification of high-risk asymptomatic carotid stenosis, and percutaneous closure of patent foramen ovale. There is evidence that the Mediterranean diet significantly reduces the risk of stroke and that B vitamins lower homocysteine, thus preventing stroke. The benefit of B vitamins to lower homocysteine was masked by harm from cyanocobalamin among study participants with impaired renal function; we should be using methylcobalamin instead of cyanocobalamin. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.2478/jtim-2018-0024DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6231304PMC
September 2018
3 Reads

Evaluating the cost-effectiveness of percutaneous closure of a patent foramen ovale versus medical management in patients with a cryptogenic stroke: from the UK payer perspective.

J Med Econ 2019 Feb 29;22(2):131-139. Epub 2018 Nov 29.

i University of Pennsylvania , Philadelphia , PA , USA.

Aims: Percutaneous closure of a patent foramen ovale (PFO) is known to lower the risk of recurrent stroke in patients with a cryptogenic stroke. However, the economic implications of transcatheter PFO closure are less well known. From a UK payer perspective, a detailed economic appraisal of PFO closure was performed for prevention of recurrent ischemic stroke in patients with a PFO who had experienced a cryptogenic stroke. Read More

View Article

Download full-text PDF

Source
https://www.tandfonline.com/doi/full/10.1080/13696998.2018.1
Publisher Site
http://dx.doi.org/10.1080/13696998.2018.1548355DOI Listing
February 2019
22 Reads

Teaching NeuroImages: Complex bilateral corpus callosum infarction after paradoxical embolism: Lightning strikes twice.

Neurology 2018 Nov;91(20):e1947-e1948

From the Departments of Neurology (G.V.C.d.O.C., M.H.L.P., S.C.O.M., R.B., A.G.d.A.), Internal Medicine (S.C.O.M.), and Radiology (J.A.D.), Hospital de Clínicas de Porto Alegre, Brazil.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1212/WNL.0000000000006505DOI Listing
November 2018
2 Reads

An Autopsy Case of Paradoxical Pulmonary Thromboembolism by Arteriovenous Fistula from Right Common Iliac Artery to Common Iliac Vein: A Rare Cause of Pulmonary Embolism.

Am J Case Rep 2018 Nov 1;19:1301-1305. Epub 2018 Nov 1.

Division of Respiratory Disease, Department of Medicine, Tokai University Hachioji Hospital, Hachioji, Tokyo, Japan.

BACKGROUND Pulmonary thromboembolism (PTE) sometimes leads to a shock state and sudden death due to acute massive pulmonary arterial thrombosis. The origins of pulmonary arterial thrombi are varied, but most arise from deep vein thrombosis. We herein presented a very rare cause of PTE due to paradoxical embolism caused by arteriovenous fistula from common iliac artery to common iliac vein. Read More

View Article

Download full-text PDF

Source
https://www.amjcaserep.com/abstract/index/idArt/910982
Publisher Site
http://dx.doi.org/10.12659/AJCR.910982DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6223196PMC
November 2018
8 Reads

Paradoxical brain embolism due to a popliteal venous aneurysm after minor orthopedic surgery in a 19-year-old man with patent foramen ovale: A case report.

J Orthop Sci 2018 Oct 20. Epub 2018 Oct 20.

Department of Orthopaedic Surgery, Faculty of Medicine, Saga University, 5-1-1, Nabeshima, Saga 849-8501, Japan.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jos.2018.09.019DOI Listing
October 2018
12 Reads

Thrombus straddling a patent foramen ovale, pulmonary embolism and paradoxical embolism: a rare trifecta.

BMJ Case Rep 2018 Oct 17;2018. Epub 2018 Oct 17.

Cardiology, St Joseph Mercy Oakland Hospital, Pontiac, Michigan, USA.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1136/bcr-2018-227505DOI Listing
October 2018
15 Reads

Role of Echocardiography in Assessment of Cardioembolic Sources: a Strong Diagnostic Resource in Patients with Ischemic Stroke.

Curr Cardiol Rep 2018 Oct 11;20(12):136. Epub 2018 Oct 11.

Aurora Cardiovascular Services, Aurora Sinai/Aurora St. Luke's Medical Centers, 2801 W. Kinnickinnic River Parkway, Ste. 880, Milwaukee, WI, 53215, USA.

Purpose Of Review: This review will discuss the most frequent sources of cardiac embolism and the role of echocardiography in these different clinical settings, and, in addition, provide suggestions about the choice between transthoracic (TTE) and transesophageal echocardiography (TEE).

Recent Findings: Stroke is the third leading cause of death in industrial countries, and 15-40% of all ischemic strokes are due to cardioembolism. TTE and TEE are cornerstones in the detection of cardioembolic sources and provide fundamental information about the embolic risk and most suitable treatment of these patients, improving long-term outcomes. Read More

View Article

Download full-text PDF

Source
http://link.springer.com/10.1007/s11886-018-1085-5
Publisher Site
http://dx.doi.org/10.1007/s11886-018-1085-5DOI Listing
October 2018
17 Reads

RoPE Score as a Predictor of Recurrent Ischemic Events After Percutaneous Patent Foramen Ovale Closure.

Int Heart J 2018 Nov 10;59(6):1327-1332. Epub 2018 Oct 10.

Cardiology University Centre, Hospital de Santa Marta, Centro Hospitalar de Lisboa Central.

The benefits of patent foramen ovale (PFO) closure for cryptogenic stroke secondary prevention are still debated. The Risk of Paradoxical Embolism (RoPE) study developed a score to improve patient selection for this procedure. We proposed to assess the validity of this score to assess the prognostic impact of PFO closure. Read More

View Article

Download full-text PDF

Source
https://www.jstage.jst.go.jp/article/ihj/advpub/0/advpub_17-
Publisher Site
http://dx.doi.org/10.1536/ihj.17-489DOI Listing
November 2018
32 Reads

Identification of candidates for PFO closure in the echocardiography laboratory.

Echocardiography 2018 11 10;35(11):1860-1867. Epub 2018 Oct 10.

Division of Cardiovascular Diseases, Department of Medicine, University of Mississippi School of Medicine, Jackson, Mississippi.

A patent foramen ovale (PFO) is implicated in several pathologic processes, including that of cryptogenic stroke (cCVA). Recent trials identify "high-risk" PFOs in patients with cCVA as likely to benefit from percutaneous closure. The younger the patient (<60 years old) the more likely a PFO may be attributable to the cCVA. Read More

View Article

Download full-text PDF

Source
http://doi.wiley.com/10.1111/echo.14154
Publisher Site
http://dx.doi.org/10.1111/echo.14154DOI Listing
November 2018
13 Reads

A Rare Cause of Stroke FourWeeks After Ascending Aortic Aneurysm Repair.

J Cardiothorac Vasc Anesth 2018 Sep 8. Epub 2018 Sep 8.

Anesthesia Service, Clement J. Zablocki Veterans Affairs Medical Center, Milwaukee, WI. Electronic address:

View Article

Download full-text PDF

Source
https://linkinghub.elsevier.com/retrieve/pii/S10530770183087
Publisher Site
http://dx.doi.org/10.1053/j.jvca.2018.09.002DOI Listing
September 2018
11 Reads

Embolizing Massive Right Atrial Thrombus in a HIV-Infected Patient.

J Investig Med High Impact Case Rep 2018 Jan-Dec;6:2324709618802871. Epub 2018 Sep 28.

Kern Medical Center, Bakersfield, CA, USA.

The risk of thromboembolism is increased when associated with the human immunodeficiency viral (HIV) infection. Various factors are involved in promoting thrombosis, and the presence of a patent foramen ovale augments the potential for a paradoxical embolism. We describe the case of a 56-year-old man receiving antiretroviral therapy with features of right heart failure and pulmonary embolism. Read More

View Article

Download full-text PDF

Source
http://journals.sagepub.com/doi/10.1177/2324709618802871
Publisher Site
http://dx.doi.org/10.1177/2324709618802871DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6166303PMC
September 2018
21 Reads

Cryptogenic stroke secondary to paradoxical embolism: Is this event rare or underdiagnosed?

Emergencias 2018 10;30(5):367-368

Servicio de Urgencias, Hospital Universitario Clínico San Carlos, Madrid, España.

View Article

Download full-text PDF

Source
October 2018
2 Reads

[Neuroimaging characteristics of cryptogenic stroke with and without patent foramen ovale].

Zhonghua Yi Xue Za Zhi 2018 Sep;98(33):2636-2640

Department of Neurology, Henan Provincial People's Hospital, Zhengzhou 450003, China.

To explore the neuroimaging characteristics associated with the presence of patent foramen ovale(PFO) for patients with cryptogenic stroke. We retrospectively collected the clinical and imaging data of cryptogenic stroke patients with PFO and without PFO from Henan Province People's Hospital from January 1, 2013 to June 30, 2017. Lesion patterns and pertinent vascular territory were compared between the two groups. Read More

View Article

Download full-text PDF

Source
http://doi.med.wanfangdata.com.cn/10.3760/cma.j.issn.0376-24
Publisher Site
http://dx.doi.org/10.3760/cma.j.issn.0376-2491.2018.33.005DOI Listing
September 2018
15 Reads

[InterAtrial Shunt Device in diastolic heart failure].

Internist (Berl) 2018 Oct;59(10):1054-1062

Herzzentrum, Klinik für Kardiologie und Pneumologie, Universitätsmedizin Göttingen, Georg-August-Universität Göttingen, Robert-Koch-Str. 40, 37075, Göttingen, Deutschland.

All types of heart failure are associated with reduced cardiac output and/or increased left atrial (LA) pressure. In diastolic heart failure (heart failure with preserved ejection fraction [HFpEF]), the increased LA pressure plays a central role, leading to pulmonary venous hypertension (PVH) and increased pulmonary artery pressure. These pressure parameters are presumably decisive for the symptoms and mortally of heart failure, particularly of the diastolic form. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00108-018-0484-4DOI Listing
October 2018
2 Reads

Massive air embolism while removing a central venous catheter.

Int J Crit Illn Inj Sci 2018 Jul-Sep;8(3):176-178

Department of Thoracic and Cardiovascular Surgery, School of Medicine, Jeju National University Hospital, Jeju National University, Jeju, Korea.

Air embolism is a rare but mostly iatrogenic complication of medical or surgical procedures and may have a serious outcome. On the removal of a central venous catheter (CVC), minor carelessness can lead to a venous air embolism sometimes accompanied by arterial embolism. We experienced the case of a 61-year-old male who suffered from a paradoxical systemic air embolism while we removed a CVC. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4103/IJCIIS.IJCIIS_14_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6116308PMC
September 2018
28 Reads

Right sided infective endocarditis and systemic emboli.

QJM 2019 Jan;112(1):57-58

Department of Pulmonary and Critical Care Medicine, Maimonides Medical Center, 950 49th St Apt 3D, Brooklyn, NY, USA.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1093/qjmed/hcy187DOI Listing
January 2019
2 Reads