Document Detail

Embolization from angiographic catheter during angiography simulating vascular spasm. Report of a case with postmortem verification.
MedLine Citation:
PMID:  4013836     Owner:  NLM     Status:  MEDLINE    
The initiating event in the pathogenesis of acute coronary thrombosis, especially the role played by vasospasm, remains controversial. Recently an angiographic sequence of events has been reported which should conclusively prove that spasm of a normal coronary artery might lead to occlusive thrombosis. The patient survived, and thus this conclusion was reached without morphological verification. The present report describes an almost identical angiographic sequence of events in a cerebral artery initially interpreted in the same way: spasm leading to thrombosis. The patient died, and an embolus derived from the angiographic catheter was found at postmortem examination exactly where angiography had shown "spasm". A "catheter embolus" simulating vascular spasm could as well explain the basic angiographic findings in the previously reported case. Thus, it still remains to be proved that spasm of a normal artery may lead to occlusive thrombosis.
E Falk; P Boris
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Acta medica Scandinavica     Volume:  217     ISSN:  0001-6101     ISO Abbreviation:  Acta Med Scand     Publication Date:  1985  
Date Detail:
Created Date:  1985-07-29     Completed Date:  1985-07-29     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0370330     Medline TA:  Acta Med Scand     Country:  SWEDEN    
Other Details:
Languages:  eng     Pagination:  443-7     Citation Subset:  IM    
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MeSH Terms
Carotid Arteries / radiography*
Cerebral Angiography / adverse effects*
Cerebral Arteries / pathology
Intracranial Embolism and Thrombosis / etiology*,  pathology
Subarachnoid Hemorrhage / radiography

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