A Successful Treatment Strategy for Paradoxical Cerebral Embolism Accompanied by Entrapped Thrombus in Patent Foramen Ovale

A 73-year-old man was transferred to our hospital with dyspnea and left hemiplegia. The diagnosis of pulmonary embolism, entrapped thrombus in patent foramen ovale (PFO), and internal carotid artery occlusion was made by imaging studies. We decided to perform endovascular treatment without the admin...

Descripción completa

Detalles Bibliográficos
Autores principales: Ishida, Takuto, Miyazaki, Kazuki, Shimizu, Hiroshi, Shibahashi, Keita, Hoda, Hidenori, Itagaki, Ryo, Sugiyama, Kazuhiro, Tanabe, Takahiro, Hamabe, Yuichi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2019
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7008040/
https://www.ncbi.nlm.nih.gov/pubmed/31484914
http://dx.doi.org/10.2169/internalmedicine.3642-19
_version_ 1783495406067384320
author Ishida, Takuto
Miyazaki, Kazuki
Shimizu, Hiroshi
Shibahashi, Keita
Hoda, Hidenori
Itagaki, Ryo
Sugiyama, Kazuhiro
Tanabe, Takahiro
Hamabe, Yuichi
author_facet Ishida, Takuto
Miyazaki, Kazuki
Shimizu, Hiroshi
Shibahashi, Keita
Hoda, Hidenori
Itagaki, Ryo
Sugiyama, Kazuhiro
Tanabe, Takahiro
Hamabe, Yuichi
author_sort Ishida, Takuto
collection PubMed
description A 73-year-old man was transferred to our hospital with dyspnea and left hemiplegia. The diagnosis of pulmonary embolism, entrapped thrombus in patent foramen ovale (PFO), and internal carotid artery occlusion was made by imaging studies. We decided to perform endovascular treatment without the administration of tissue plasminogen activator (tPA) for cerebral embolism because of concern about further embolism caused by fragmented thrombi. After endovascular treatment, he successfully underwent surgical embolectomy for entrapped thrombus in PFO. Endovascular treatment without tPA administration and subsequent surgical embolectomy seems to be a viable treatment strategy for patients with occlusion of the large cerebral artery accompanied by entrapped thrombus in PFO.
format Online
Article
Text
id pubmed-7008040
institution National Center for Biotechnology Information
language English
publishDate 2019
publisher The Japanese Society of Internal Medicine
record_format MEDLINE/PubMed
spelling pubmed-70080402020-02-10 A Successful Treatment Strategy for Paradoxical Cerebral Embolism Accompanied by Entrapped Thrombus in Patent Foramen Ovale Ishida, Takuto Miyazaki, Kazuki Shimizu, Hiroshi Shibahashi, Keita Hoda, Hidenori Itagaki, Ryo Sugiyama, Kazuhiro Tanabe, Takahiro Hamabe, Yuichi Intern Med Case Report A 73-year-old man was transferred to our hospital with dyspnea and left hemiplegia. The diagnosis of pulmonary embolism, entrapped thrombus in patent foramen ovale (PFO), and internal carotid artery occlusion was made by imaging studies. We decided to perform endovascular treatment without the administration of tissue plasminogen activator (tPA) for cerebral embolism because of concern about further embolism caused by fragmented thrombi. After endovascular treatment, he successfully underwent surgical embolectomy for entrapped thrombus in PFO. Endovascular treatment without tPA administration and subsequent surgical embolectomy seems to be a viable treatment strategy for patients with occlusion of the large cerebral artery accompanied by entrapped thrombus in PFO. The Japanese Society of Internal Medicine 2019-09-03 2020-01-15 /pmc/articles/PMC7008040/ /pubmed/31484914 http://dx.doi.org/10.2169/internalmedicine.3642-19 Text en Copyright © 2020 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/ The Internal Medicine is an Open Access journal distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Ishida, Takuto
Miyazaki, Kazuki
Shimizu, Hiroshi
Shibahashi, Keita
Hoda, Hidenori
Itagaki, Ryo
Sugiyama, Kazuhiro
Tanabe, Takahiro
Hamabe, Yuichi
A Successful Treatment Strategy for Paradoxical Cerebral Embolism Accompanied by Entrapped Thrombus in Patent Foramen Ovale
title A Successful Treatment Strategy for Paradoxical Cerebral Embolism Accompanied by Entrapped Thrombus in Patent Foramen Ovale
title_full A Successful Treatment Strategy for Paradoxical Cerebral Embolism Accompanied by Entrapped Thrombus in Patent Foramen Ovale
title_fullStr A Successful Treatment Strategy for Paradoxical Cerebral Embolism Accompanied by Entrapped Thrombus in Patent Foramen Ovale
title_full_unstemmed A Successful Treatment Strategy for Paradoxical Cerebral Embolism Accompanied by Entrapped Thrombus in Patent Foramen Ovale
title_short A Successful Treatment Strategy for Paradoxical Cerebral Embolism Accompanied by Entrapped Thrombus in Patent Foramen Ovale
title_sort successful treatment strategy for paradoxical cerebral embolism accompanied by entrapped thrombus in patent foramen ovale
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7008040/
https://www.ncbi.nlm.nih.gov/pubmed/31484914
http://dx.doi.org/10.2169/internalmedicine.3642-19
work_keys_str_mv AT ishidatakuto asuccessfultreatmentstrategyforparadoxicalcerebralembolismaccompaniedbyentrappedthrombusinpatentforamenovale
AT miyazakikazuki asuccessfultreatmentstrategyforparadoxicalcerebralembolismaccompaniedbyentrappedthrombusinpatentforamenovale
AT shimizuhiroshi asuccessfultreatmentstrategyforparadoxicalcerebralembolismaccompaniedbyentrappedthrombusinpatentforamenovale
AT shibahashikeita asuccessfultreatmentstrategyforparadoxicalcerebralembolismaccompaniedbyentrappedthrombusinpatentforamenovale
AT hodahidenori asuccessfultreatmentstrategyforparadoxicalcerebralembolismaccompaniedbyentrappedthrombusinpatentforamenovale
AT itagakiryo asuccessfultreatmentstrategyforparadoxicalcerebralembolismaccompaniedbyentrappedthrombusinpatentforamenovale
AT sugiyamakazuhiro asuccessfultreatmentstrategyforparadoxicalcerebralembolismaccompaniedbyentrappedthrombusinpatentforamenovale
AT tanabetakahiro asuccessfultreatmentstrategyforparadoxicalcerebralembolismaccompaniedbyentrappedthrombusinpatentforamenovale
AT hamabeyuichi asuccessfultreatmentstrategyforparadoxicalcerebralembolismaccompaniedbyentrappedthrombusinpatentforamenovale
AT ishidatakuto successfultreatmentstrategyforparadoxicalcerebralembolismaccompaniedbyentrappedthrombusinpatentforamenovale
AT miyazakikazuki successfultreatmentstrategyforparadoxicalcerebralembolismaccompaniedbyentrappedthrombusinpatentforamenovale
AT shimizuhiroshi successfultreatmentstrategyforparadoxicalcerebralembolismaccompaniedbyentrappedthrombusinpatentforamenovale
AT shibahashikeita successfultreatmentstrategyforparadoxicalcerebralembolismaccompaniedbyentrappedthrombusinpatentforamenovale
AT hodahidenori successfultreatmentstrategyforparadoxicalcerebralembolismaccompaniedbyentrappedthrombusinpatentforamenovale
AT itagakiryo successfultreatmentstrategyforparadoxicalcerebralembolismaccompaniedbyentrappedthrombusinpatentforamenovale
AT sugiyamakazuhiro successfultreatmentstrategyforparadoxicalcerebralembolismaccompaniedbyentrappedthrombusinpatentforamenovale
AT tanabetakahiro successfultreatmentstrategyforparadoxicalcerebralembolismaccompaniedbyentrappedthrombusinpatentforamenovale
AT hamabeyuichi successfultreatmentstrategyforparadoxicalcerebralembolismaccompaniedbyentrappedthrombusinpatentforamenovale

Ejemplares similares