Key result
Rheolytic thrombectomy with AngioJet, PFO closure with CardioSeal device, and IVC filter placement effectively treated a patient with bilateral pulmonary embolism and cryptogenic stroke.
Case Report (n=1)
Combined percutaneous rheolytic thrombectomy, PFO closure, and IVC filter placement can be an effective treatment strategy for patients with submassive PE and paradoxical stroke who are ineligible for thrombolytics.
May support individualized percutaneous strategy in thrombolytic-ineligible submassive PE with paradoxical embolism; hypothesis-generating, requiring prospective trials.
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.
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Iskander et al. (2005) conducted a case report in Submassive pulmonary embolism, paradoxical embolic stroke, patent foramen ovale (n=1). Rheolytic thrombectomy with AngioJet, PFO closure with CardioSeal device, and IVC filter placement was evaluated on Treatment effectiveness. Rheolytic thrombectomy with AngioJet, PFO closure with CardioSeal device, and IVC filter placement effectively treated a patient with bilateral pulmonary embolism and cryptogenic stroke.
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