| Successful recanalization of a septic embolus with a balloon mounted stent after failed mechanical thrombectomy. | |
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MedLine Citation:
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PMID: 20040014 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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Cardiac emboli are a feared complication for patients with left ventricular assist devices (LVAD). Septic emboli are rare but carry a poor prognosis in the setting of large artery occlusion. We report the case of a 24-year-old woman who presents with a left internal carotid artery terminus occlusion secondary to a septic emboli from a LVAD. The patient was not a candidate for intravenous thrombolytics due to an elevated international normalized ratio, and thus was taken for intra-arterial treatment. Initial treatment with mechanical thrombectomy and balloon angioplasty was not successful; thus, a balloon-mounted coronary stent was placed to achieve successful recanalization. Fragments of thrombus on the mechanical thrombectomy device revealed gram-positive bacilli on gram stain. Patients with large artery occlusion due to a septic embolus can be successfully treated with endovascular therapies in select patients. |
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Authors:
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Mark D Bain; Muhammad Shazam Hussain; Vivekananda Gonugunta; Irene Katzan; Rishi Gupta |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of neuroimaging : official journal of the American Society of Neuroimaging Volume: 21 ISSN: 1552-6569 ISO Abbreviation: J Neuroimaging Publication Date: 2011 Apr |
Date Detail:
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Created Date: 2011-03-25 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9102705 Medline TA: J Neuroimaging Country: United States |
Other Details:
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Languages: eng Pagination: 170-2 Citation Subset: IM |
Copyright Information:
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Copyright © 2009 by the American Society of Neuroimaging. |
Affiliation:
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From the Cleveland Clinic Foundation, Cerebrovascular Center, Cleveland, Ohio (MDB, SMH, VG, IK, RG). |
Export Citation:
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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