Paradoxical Embolic Stroke Following Percutaneous Transluminal Angioplasty in a Hemodialysis Patient.

Autor: Luo X; Department of Nephrology of Kidney Disease, Hunan Provincial People's Hospital, Hunan Normal University, Changsha, China., Yu J; Department of Nephrology of Kidney Disease, Hunan Provincial People's Hospital, Hunan Normal University, Changsha, China., Xiao H; Department of Nephrology of Kidney Disease, Hunan Provincial People's Hospital, Hunan Normal University, Changsha, China., Dai L; Department of Nephrology of Kidney Disease, The First Hospital of Changsha County, Changsha, China., Jiang Y; Department of Nephrology of Kidney Disease, Hunan Provincial People's Hospital, Hunan Normal University, Changsha, China., Xia X; Department of Ultrasound, Hunan Provincial People's Hospital, The First Affiliated Hospital, Hunan Normal University, Changsha, China., Shi W; Department of Nephrology of Kidney Disease, Hunan Provincial People's Hospital, Hunan Normal University, Changsha, China., Zhang F; Department of Nephrology, Haidian Hospital (Haidian section of Peking University Third Hospital), Beijing, China.
Jazyk: angličtina
Zdroj: Seminars in dialysis [Semin Dial] 2024 May-Jun; Vol. 37 (3), pp. 277-281. Date of Electronic Publication: 2024 Mar 09.
DOI: 10.1111/sdi.13201
Abstrakt: Paradoxical embolism is a medical condition characterized by the migration of an embolus from a venous source into the systemic circulation. This occurs through a specific cardiac abnormality known as a right-to-left shunt, ultimately resulting in the possibility of arterial embolism. Patent foramen ovale (PFO) is the most common cause of intracardiac shunting. We reported a rare case of a 56-year-old man on hemodialysis with PFO and arteriovenous fistula dysfunction who suffered a paradoxical embolic ischemic stroke after percutaneous transluminal angioplasty. This case emphasized the potential risk of paradoxical embolism in hemodialysis patients with vascular access problems. We aimed to highlight the importance of searching for PFO, as it may serve as a possible source of embolism in these patients.
(© 2024 Wiley Periodicals LLC.)
Databáze: MEDLINE
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