Outcomes of Coil Embolization for Pulmonary Arteriovenous Fistula as Evaluated Using a Novel Soft Ultrasound Probe Pasted to the Neck

An 81-year-old woman presented to our emergency room by ambulance with gait disturbance and pain in her left neck. Magnetic resonance imaging (MRI) showed acute left-sided dorsolateral medullary infarction and an occluded left vertebral artery. The temporal bone echo window was insufficient, but our...

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Autores principales: Mitsumura, Hidetaka, Arai, Ayumi, Sakai, Kenichiro, Terasawa, Yuka, Kubota, Jun, Iguchi, Yasuyuki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7474998/
https://www.ncbi.nlm.nih.gov/pubmed/32321888
http://dx.doi.org/10.2169/internalmedicine.3788-19
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author Mitsumura, Hidetaka
Arai, Ayumi
Sakai, Kenichiro
Terasawa, Yuka
Kubota, Jun
Iguchi, Yasuyuki
author_facet Mitsumura, Hidetaka
Arai, Ayumi
Sakai, Kenichiro
Terasawa, Yuka
Kubota, Jun
Iguchi, Yasuyuki
author_sort Mitsumura, Hidetaka
collection PubMed
description An 81-year-old woman presented to our emergency room by ambulance with gait disturbance and pain in her left neck. Magnetic resonance imaging (MRI) showed acute left-sided dorsolateral medullary infarction and an occluded left vertebral artery. The temporal bone echo window was insufficient, but our pastable soft ultrasound probe attached to the cervix (PSUP) detected many microembolic signals caused by the contrast agent (cMES) in the common carotid artery. Chest CT revealed right pulmonary arteriovenous fistula (PAVF) and she underwent coil embolization for PAVF considering the possibility of paradoxical embolism via PAVF. After embolization, the cMES disappeared on PSUP. Therefore, PSUP was useful for diagnosing and confirming the interventional procedural success for performing PAVF.
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spelling pubmed-74749982020-09-18 Outcomes of Coil Embolization for Pulmonary Arteriovenous Fistula as Evaluated Using a Novel Soft Ultrasound Probe Pasted to the Neck Mitsumura, Hidetaka Arai, Ayumi Sakai, Kenichiro Terasawa, Yuka Kubota, Jun Iguchi, Yasuyuki Intern Med Case Report An 81-year-old woman presented to our emergency room by ambulance with gait disturbance and pain in her left neck. Magnetic resonance imaging (MRI) showed acute left-sided dorsolateral medullary infarction and an occluded left vertebral artery. The temporal bone echo window was insufficient, but our pastable soft ultrasound probe attached to the cervix (PSUP) detected many microembolic signals caused by the contrast agent (cMES) in the common carotid artery. Chest CT revealed right pulmonary arteriovenous fistula (PAVF) and she underwent coil embolization for PAVF considering the possibility of paradoxical embolism via PAVF. After embolization, the cMES disappeared on PSUP. Therefore, PSUP was useful for diagnosing and confirming the interventional procedural success for performing PAVF. The Japanese Society of Internal Medicine 2020-04-23 2020-08-01 /pmc/articles/PMC7474998/ /pubmed/32321888 http://dx.doi.org/10.2169/internalmedicine.3788-19 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
Mitsumura, Hidetaka
Arai, Ayumi
Sakai, Kenichiro
Terasawa, Yuka
Kubota, Jun
Iguchi, Yasuyuki
Outcomes of Coil Embolization for Pulmonary Arteriovenous Fistula as Evaluated Using a Novel Soft Ultrasound Probe Pasted to the Neck
title Outcomes of Coil Embolization for Pulmonary Arteriovenous Fistula as Evaluated Using a Novel Soft Ultrasound Probe Pasted to the Neck
title_full Outcomes of Coil Embolization for Pulmonary Arteriovenous Fistula as Evaluated Using a Novel Soft Ultrasound Probe Pasted to the Neck
title_fullStr Outcomes of Coil Embolization for Pulmonary Arteriovenous Fistula as Evaluated Using a Novel Soft Ultrasound Probe Pasted to the Neck
title_full_unstemmed Outcomes of Coil Embolization for Pulmonary Arteriovenous Fistula as Evaluated Using a Novel Soft Ultrasound Probe Pasted to the Neck
title_short Outcomes of Coil Embolization for Pulmonary Arteriovenous Fistula as Evaluated Using a Novel Soft Ultrasound Probe Pasted to the Neck
title_sort outcomes of coil embolization for pulmonary arteriovenous fistula as evaluated using a novel soft ultrasound probe pasted to the neck
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7474998/
https://www.ncbi.nlm.nih.gov/pubmed/32321888
http://dx.doi.org/10.2169/internalmedicine.3788-19
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