Syed Saad Mahmood, Sunil Manjila, Gagandeep Singh, Andrew R Xavier
{"title":"经食道超声心动图检查时左心房血栓栓塞导致急性双侧颈内动脉闭塞：病例报告。","authors":"Syed Saad Mahmood, Sunil Manjila, Gagandeep Singh, Andrew R Xavier","doi":"","DOIUrl":null,"url":null,"abstract":"<p><strong>Background and purpose: </strong>Transesophageal echocardiography (TEE) is a relatively safe imaging modality used to visualize intracardiac thrombus.</p><p><strong>Summary of case: </strong>We report on a unique, fatal complication during TEE of embolization of a pre-existing \"smoking\" left atrial thrombus causing acute bilateral internal carotid occlusion, confirmed on angiogram.</p><p><strong>Conclusions: </strong>Patients with history of lung pathology, such as COPD, who experience retching and cough during transesophageal echocardiography may be more susceptible to embolization of pre-existing thrombi. A need exists to risk stratify such patients.</p>","PeriodicalId":88555,"journal":{"name":"Journal of vascular and interventional neurology","volume":"9 1","pages":"20-2"},"PeriodicalIF":0.0000,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4925761/pdf/jvin-9-1-4.pdf","citationCount":"0","resultStr":"{\"title\":\"Acute Bilateral Internal Carotid Occlusion from Embolization of Left Atrial Thrombus During Transesophageal Echocardiography: Case Report.\",\"authors\":\"Syed Saad Mahmood, Sunil Manjila, Gagandeep Singh, Andrew R Xavier\",\"doi\":\"\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background and purpose: </strong>Transesophageal echocardiography (TEE) is a relatively safe imaging modality used to visualize intracardiac thrombus.</p><p><strong>Summary of case: </strong>We report on a unique, fatal complication during TEE of embolization of a pre-existing \\\"smoking\\\" left atrial thrombus causing acute bilateral internal carotid occlusion, confirmed on angiogram.</p><p><strong>Conclusions: </strong>Patients with history of lung pathology, such as COPD, who experience retching and cough during transesophageal echocardiography may be more susceptible to embolization of pre-existing thrombi. A need exists to risk stratify such patients.</p>\",\"PeriodicalId\":88555,\"journal\":{\"name\":\"Journal of vascular and interventional neurology\",\"volume\":\"9 1\",\"pages\":\"20-2\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2016-06-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4925761/pdf/jvin-9-1-4.pdf\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of vascular and interventional neurology\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of vascular and interventional neurology","FirstCategoryId":"1085","ListUrlMain":"","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Acute Bilateral Internal Carotid Occlusion from Embolization of Left Atrial Thrombus During Transesophageal Echocardiography: Case Report.
Background and purpose: Transesophageal echocardiography (TEE) is a relatively safe imaging modality used to visualize intracardiac thrombus.
Summary of case: We report on a unique, fatal complication during TEE of embolization of a pre-existing "smoking" left atrial thrombus causing acute bilateral internal carotid occlusion, confirmed on angiogram.
Conclusions: Patients with history of lung pathology, such as COPD, who experience retching and cough during transesophageal echocardiography may be more susceptible to embolization of pre-existing thrombi. A need exists to risk stratify such patients.
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