Submassive pulmonary embolism and paradoxical embolic stroke treated with percutaneous rheolytic thrombectomy and closure of the patent foramen ovale

Catheter Cardiovasc Interv. 2005 Mar;64(3):356-60. doi: 10.1002/ccd.20306.

Abstract

The presence of patent foramen ovale (PFO) in patients with large pulmonary emboli (PE) is associated with an increased risk of stroke and mortality. Many patients are ineligible to receive thrombolytic therapy. We present a patient with bilateral PE and cryptogenic stroke who was treated effectively with rheolytic thrombectomy with AngioJet, PFO closure with CardioSeal device, and placement of an inferior vena cava filter.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Angiography / methods
  • Cardiac Catheterization
  • Catheterization / methods*
  • Embolism, Paradoxical / diagnostic imaging
  • Embolism, Paradoxical / etiology
  • Embolism, Paradoxical / therapy*
  • Follow-Up Studies
  • Heart Septal Defects, Atrial / complications
  • Heart Septal Defects, Atrial / diagnostic imaging
  • Heart Septal Defects, Atrial / therapy*
  • Humans
  • Intracranial Embolism / complications
  • Intracranial Embolism / diagnostic imaging
  • Intracranial Embolism / therapy*
  • Male
  • Pulmonary Embolism / diagnostic imaging
  • Pulmonary Embolism / etiology
  • Pulmonary Embolism / therapy*
  • Stroke / diagnostic imaging
  • Stroke / etiology
  • Stroke / therapy*
  • Thrombectomy / methods*
  • Tomography, X-Ray Computed
  • Vena Cava Filters