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Percutaneous rheolytic thrombectomy and cerebral embolic protection in a massive thrombosis of a fenestrated Fontan conduit: a case report

BACKGROUND: Clinical thromboembolism in Fontan patients is often a catastrophic event resulting in death and adverse long-term outcomes. The treatment of acute thromboembolic complications in these patients is very controversial. CASE SUMMARY: We describe the use of rheolytic thrombectomy in a Fonta...

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Autores principales: Marzullo, Raffaella, Capestro, Alessandro, Muçaj, Andi, Piva, Tommaso
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10199720/
https://www.ncbi.nlm.nih.gov/pubmed/37215519
http://dx.doi.org/10.1093/ehjcr/ytad238
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author Marzullo, Raffaella
Capestro, Alessandro
Muçaj, Andi
Piva, Tommaso
author_facet Marzullo, Raffaella
Capestro, Alessandro
Muçaj, Andi
Piva, Tommaso
author_sort Marzullo, Raffaella
collection PubMed
description BACKGROUND: Clinical thromboembolism in Fontan patients is often a catastrophic event resulting in death and adverse long-term outcomes. The treatment of acute thromboembolic complications in these patients is very controversial. CASE SUMMARY: We describe the use of rheolytic thrombectomy in a Fontan patient with life-threatening pulmonary embolism, employing a cerebral protection system to reduce the risk of stroke through the fenestration. DISCUSSION: Rheolytic thrombectomy may be a successful alternative to systemic thrombolytic therapy and open surgical resection for the treatment of acute high-risk pulmonary embolism in the Fontan population. Embolic protection device to capture and remove thrombus/debris may be an innovative tool to reduce the risk of stroke through the fenestration while performing a percutaneous procedure in fenestrated Fontan patient.
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spelling pubmed-101997202023-05-21 Percutaneous rheolytic thrombectomy and cerebral embolic protection in a massive thrombosis of a fenestrated Fontan conduit: a case report Marzullo, Raffaella Capestro, Alessandro Muçaj, Andi Piva, Tommaso Eur Heart J Case Rep Case Report BACKGROUND: Clinical thromboembolism in Fontan patients is often a catastrophic event resulting in death and adverse long-term outcomes. The treatment of acute thromboembolic complications in these patients is very controversial. CASE SUMMARY: We describe the use of rheolytic thrombectomy in a Fontan patient with life-threatening pulmonary embolism, employing a cerebral protection system to reduce the risk of stroke through the fenestration. DISCUSSION: Rheolytic thrombectomy may be a successful alternative to systemic thrombolytic therapy and open surgical resection for the treatment of acute high-risk pulmonary embolism in the Fontan population. Embolic protection device to capture and remove thrombus/debris may be an innovative tool to reduce the risk of stroke through the fenestration while performing a percutaneous procedure in fenestrated Fontan patient. Oxford University Press 2023-05-09 /pmc/articles/PMC10199720/ /pubmed/37215519 http://dx.doi.org/10.1093/ehjcr/ytad238 Text en © The Author(s) 2023. Published by Oxford University Press on behalf of the European Society of Cardiology. https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial License (https://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Case Report
Marzullo, Raffaella
Capestro, Alessandro
Muçaj, Andi
Piva, Tommaso
Percutaneous rheolytic thrombectomy and cerebral embolic protection in a massive thrombosis of a fenestrated Fontan conduit: a case report
title Percutaneous rheolytic thrombectomy and cerebral embolic protection in a massive thrombosis of a fenestrated Fontan conduit: a case report
title_full Percutaneous rheolytic thrombectomy and cerebral embolic protection in a massive thrombosis of a fenestrated Fontan conduit: a case report
title_fullStr Percutaneous rheolytic thrombectomy and cerebral embolic protection in a massive thrombosis of a fenestrated Fontan conduit: a case report
title_full_unstemmed Percutaneous rheolytic thrombectomy and cerebral embolic protection in a massive thrombosis of a fenestrated Fontan conduit: a case report
title_short Percutaneous rheolytic thrombectomy and cerebral embolic protection in a massive thrombosis of a fenestrated Fontan conduit: a case report
title_sort percutaneous rheolytic thrombectomy and cerebral embolic protection in a massive thrombosis of a fenestrated fontan conduit: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10199720/
https://www.ncbi.nlm.nih.gov/pubmed/37215519
http://dx.doi.org/10.1093/ehjcr/ytad238
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