Pulmonary embolism and stroke associated with mechanical thrombectomy

Detalhes bibliográficos
Autor(a) principal: Bastianetto,Paulo
Data de Publicação: 2014
Outros Autores: Pinto,Daniel Mendes
Tipo de documento: Relatório
Idioma: eng
Título da fonte: Jornal Vascular Brasileiro (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1677-54492014000200137
Resumo: Mechanical thrombectomy offers the advantage of rapid removal of venous thrombi. It allows venous obstructions to be removed and requires shorter duration of infusion of thrombolytic agents. However, aspiration of thrombi can lead to complications, particularly pulmonary embolism and hemolysis. The validity of using vena cava filters during thrombectomy in order to avoid embolism has not yet been established. The authors report a case of massive pulmonary embolism associated with ischemic stroke in a patient with a hitherto undiagnosed patent foramen ovale. The patient developed respiratory failure and neurological deficit after thrombectomy. This case raise questions about the value of the thrombectomy for the treatment of proximal vein thrombosis due to the risks of this procedure. The authors also discuss the need for vena cava filters and ruling out a patent foramen ovale in patients undergoing thrombectomy.
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spelling Pulmonary embolism and stroke associated with mechanical thrombectomythrombectomymechanical thrombolysispulmonary embolismstrokeMechanical thrombectomy offers the advantage of rapid removal of venous thrombi. It allows venous obstructions to be removed and requires shorter duration of infusion of thrombolytic agents. However, aspiration of thrombi can lead to complications, particularly pulmonary embolism and hemolysis. The validity of using vena cava filters during thrombectomy in order to avoid embolism has not yet been established. The authors report a case of massive pulmonary embolism associated with ischemic stroke in a patient with a hitherto undiagnosed patent foramen ovale. The patient developed respiratory failure and neurological deficit after thrombectomy. This case raise questions about the value of the thrombectomy for the treatment of proximal vein thrombosis due to the risks of this procedure. The authors also discuss the need for vena cava filters and ruling out a patent foramen ovale in patients undergoing thrombectomy.Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV)2014-06-01info:eu-repo/semantics/reportinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1677-54492014000200137Jornal Vascular Brasileiro v.13 n.2 2014reponame:Jornal Vascular Brasileiro (Online)instname:Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV)instacron:SBACV10.1590/jvb.2014.059info:eu-repo/semantics/openAccessBastianetto,PauloPinto,Daniel Mendeseng2015-09-14T00:00:00Zoai:scielo:S1677-54492014000200137Revistahttp://www.scielo.br/jvbhttps://old.scielo.br/oai/scielo-oai.php||secretaria@sbacv.org.br1677-73011677-5449opendoar:2015-09-14T00:00Jornal Vascular Brasileiro (Online) - Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV)false
dc.title.none.fl_str_mv Pulmonary embolism and stroke associated with mechanical thrombectomy
title Pulmonary embolism and stroke associated with mechanical thrombectomy
spellingShingle Pulmonary embolism and stroke associated with mechanical thrombectomy
Bastianetto,Paulo
thrombectomy
mechanical thrombolysis
pulmonary embolism
stroke
title_short Pulmonary embolism and stroke associated with mechanical thrombectomy
title_full Pulmonary embolism and stroke associated with mechanical thrombectomy
title_fullStr Pulmonary embolism and stroke associated with mechanical thrombectomy
title_full_unstemmed Pulmonary embolism and stroke associated with mechanical thrombectomy
title_sort Pulmonary embolism and stroke associated with mechanical thrombectomy
author Bastianetto,Paulo
author_facet Bastianetto,Paulo
Pinto,Daniel Mendes
author_role author
author2 Pinto,Daniel Mendes
author2_role author
dc.contributor.author.fl_str_mv Bastianetto,Paulo
Pinto,Daniel Mendes
dc.subject.por.fl_str_mv thrombectomy
mechanical thrombolysis
pulmonary embolism
stroke
topic thrombectomy
mechanical thrombolysis
pulmonary embolism
stroke
description Mechanical thrombectomy offers the advantage of rapid removal of venous thrombi. It allows venous obstructions to be removed and requires shorter duration of infusion of thrombolytic agents. However, aspiration of thrombi can lead to complications, particularly pulmonary embolism and hemolysis. The validity of using vena cava filters during thrombectomy in order to avoid embolism has not yet been established. The authors report a case of massive pulmonary embolism associated with ischemic stroke in a patient with a hitherto undiagnosed patent foramen ovale. The patient developed respiratory failure and neurological deficit after thrombectomy. This case raise questions about the value of the thrombectomy for the treatment of proximal vein thrombosis due to the risks of this procedure. The authors also discuss the need for vena cava filters and ruling out a patent foramen ovale in patients undergoing thrombectomy.
publishDate 2014
dc.date.none.fl_str_mv 2014-06-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/report
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format report
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1677-54492014000200137
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1677-54492014000200137
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/jvb.2014.059
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV)
publisher.none.fl_str_mv Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV)
dc.source.none.fl_str_mv Jornal Vascular Brasileiro v.13 n.2 2014
reponame:Jornal Vascular Brasileiro (Online)
instname:Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV)
instacron:SBACV
instname_str Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV)
instacron_str SBACV
institution SBACV
reponame_str Jornal Vascular Brasileiro (Online)
collection Jornal Vascular Brasileiro (Online)
repository.name.fl_str_mv Jornal Vascular Brasileiro (Online) - Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV)
repository.mail.fl_str_mv ||secretaria@sbacv.org.br
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