| Diagnosis and therapy for pulmonary arteriovenous fistula in patients with presumed patent foramen ovale. | |
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MedLine Citation:
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PMID: 20066724 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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An increasing number of patients are being referred for PFO closure for prevention of recurrent paradoxical embolism. Diagnosis is usually made using hand agitated echo bubble contrast with transthoracic or transesophageal echo. It is inevitable that some of these patients will have pulmonary arteriovenous fistulae (PAVF), either with or without associated PFO, which may be the sole cause of paradoxical embolism, or remain after PFO closure as a source of continued embolization. Intravenous contrast echo for the diagnosis of PFO is both insensitive and nonspecific. We describe a method to diagnose and localize PAVF during a catheterization procedure using intracardiac echo in conjunction with selective injection of bubble contrast into the pulmonary arteries. This allows for the rapid and accurate diagnosis of PAVF when a PFO is not found and for the exclusion of associated PAVF when PFO exists. |
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Authors:
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Faisal Alqoofi; Benjamin Tyrrell; Ted Feldman |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions Volume: 75 ISSN: 1522-726X ISO Abbreviation: Catheter Cardiovasc Interv Publication Date: 2010 Feb |
Date Detail:
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Created Date: 2010-02-26 Completed Date: 2010-06-01 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 100884139 Medline TA: Catheter Cardiovasc Interv Country: United States |
Other Details:
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Languages: eng Pagination: 459-64 Citation Subset: IM |
Affiliation:
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Evanston NorthShore University HealthSystem, Evanston, IL 60201, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Aged Arteriovenous Fistula / complications, diagnosis*, therapy* Female Foramen Ovale, Patent / complications* Heart Catheterization Humans Male |
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