Paradoxical Brain Emboli Related to Heparin-Induced Thrombocytopenia after Catheter Ablation
| العنوان: | Paradoxical Brain Emboli Related to Heparin-Induced Thrombocytopenia after Catheter Ablation |
|---|---|
| المؤلفون: | Eisuke Furui, Yuya Shigehatake, Kiyoshi Otomo, Kenta Kawata, Ryo Itabashi, Yukako Yazawa, Sunghoon Yang |
| المصدر: | Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association. 24(8) |
| سنة النشر: | 2015 |
| مصطلحات موضوعية: | Male, medicine.medical_specialty, medicine.medical_treatment, Catheter ablation, Brain emboli, Fibrinolytic Agents, Left atrial, Heparin-induced thrombocytopenia, Internal medicine, Atrial Fibrillation, medicine, Humans, cardiovascular diseases, Aged, business.industry, Heparin, Rehabilitation, Atrial fibrillation, medicine.disease, Ablation, Thrombocytopenia, Surgery, Shunt (medical), Venous thrombosis, Cardiology, Catheter Ablation, Neurology (clinical), Cardiology and Cardiovascular Medicine, business, Embolism, Paradoxical |
| الوصف: | Background Thromboembolism associated with catheter ablation of atrial fibrillation has been considered to be derived from catheters, ablation sites, or a left atrial appendage. Paradoxical brain embolism due to iatrogenic shunt after catheter ablation has yet to be described. Methods We described a patient with atrial fibrillation who developed acute ischemic stroke while coughing 36 hours after successful catheter ablation. He had venous thrombosis due to heparin-induced thrombocytopenia and a right-to-left shunt, likely due to a trans-septal puncture during catheter ablation. Results The final diagnosis was paradoxical brain embolism associated with heparin-induced thrombocytopenia. Conclusions In addition to anticoagulation, we should pay attention to deep venous thrombosis including preventive intermittent compression for high-risk patients to reduce the risk of stroke after catheter ablation. |
| تدمد: | 1532-8511 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::cac7602ee4c4852db1db6ddc633e0e0f https://pubmed.ncbi.nlm.nih.gov/25980337 |
| Rights: | CLOSED |
| رقم الانضمام: | edsair.doi.dedup.....cac7602ee4c4852db1db6ddc633e0e0f |
| قاعدة البيانات: | OpenAIRE |
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