Extensive clot propagation involving the aorta and brachiocephalic artery: unusual consequence of paradoxical embolism

Okiwelu, Ngozichukwuka; Joshi, Pragnesh; Passage, Jürgen

doi:10.1093/ejcts/ezt372

Cited by 3 publications

(3 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Acute IA thromboembolism has been described as secondary to cardiac embolism, 5,6 paradoxical embolism, 7,8 or even as secondary to arterial thoracic outlet syndrome. 9…”

Section: Discussionmentioning

confidence: 99%

“…Acute IA thromboembolism has been described as secondary to cardiac embolism, 5,6 paradoxical embolism, 7,8 or even as secondary to arterial thoracic outlet syndrome. 9 Symptomatic acute in situ thrombosis of the supraaortic vessels with a free-floating thrombus may result in dislodgement and embolism of the thrombus, leading to anterior or posterior cerebral infarction (due to involvement of the right carotid or vertebral circulation, respectively) or upper extremity ischemia, with the potential risk of total or partial limb loss.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Acute Symptomatic Free-Floating Thrombus in the Innominate Artery, a Case Series

Torrealba

Valdés

Garrido

et al. 2022

Vasc Endovascular Surg

View full text Add to dashboard Cite

Background Innominate artery embolism may result in upper extremity ischemia or stroke. A free-floating thrombus originating from the IA is an unusual and dangerous disorder with embolic potential. Only isolated cases have been described showing different treatment modalities. Purpose To present 3 cases of free-floating thrombus in the IA treated at our institution with 3 different approaches. Cases The first case is a patient with a free-floating thrombus in the IA treated with cervical debranching and ligation of the proximal right carotid artery; another case of a patient treated with a hybrid approach with deployment of an iliac limb in the IA plus right carotid to subclavian bypass; and a third case of a patient operated by open arch thrombectomy. Conclusions Free-floating thrombus in the IA is a threatening condition feasible to be managed through different customized surgical approaches in specialized centers.

show abstract

“…Acute IA thromboembolism has been described as secondary to cardiac embolism, 5,6 paradoxical embolism, 7,8 or even as secondary to arterial thoracic outlet syndrome. 9…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Acute Symptomatic Free-Floating Thrombus in the Innominate Artery, a Case Series

Torrealba

Valdés

Garrido

et al. 2022

Vasc Endovascular Surg

View full text Add to dashboard Cite

show abstract

“…Reports of AEO-BCA themselves are very rare, 3,4) and, concerning AEO-BCA treated by EVT, there is only one report by Chisci et al 3) In this report, complete recanalization and a favorable outcome were achieved in a patient who presented with symptoms of not only limb, but also cerebral ischemia due to multiple embolism of the right BCA, left CCA, and left SCA by simultaneous surgical exposure of the bilateral carotid arteries and right brachial artery by three vascular surgeons, followed by serial thrombectomy using FCs. Therapeutic options for AEO-BCA are internal and surgical, but internal treatment is associated Fig.…”

Section: Discussionmentioning

confidence: 99%

A Case of Acute Embolic Occlusion of the Brachiocephalic Artery Recanalized with Endovascular Thrombectomy

Okamoto

Imai

Hamanaka

et al. 2017

JNET

View full text Add to dashboard Cite

Objective: Endovascular treatment of a patient with acute embolism of the brachiocephalic artery (BCA) is reported. Case Presentations:A 70-year-old woman presenting with weakness of the right upper extremity was transferred to our hospital due to acute embolism of the BCA. After the right brachial artery was secured by direct cardiovascular surgery, a balloon guidewire was inserted through the femoral artery and advanced near the thrombus in the BCA, and the balloon at its tip was inflated in the right internal carotid artery. Immediately after this, the thrombus in the BCA migrated to the right common carotid artery and right subclavian artery. The two vessels could be recanalized by endovascular treatment via a guide catheter and via the right brachial artery, respectively. Conclusion:In endovascular treatment for acute embolization of the BCA, the methods for thrombus retrieval and distal protection have not been established, and the concurrent direct surgery and cooperation by a cardiologist are indispensable.Keywords▶ cardiogenic embolism, embolic occlusion of brachiocephalic artery, endovascular thrombectomy, balloon-guide catheter, fogarty catheter

show abstract

Successful Hybrid Management of Extensive Thromboembolism of the Innominate Trunk, Right Subclavian Artery, Bilateral Common Carotid Artery, and Pulmonary Embolism

Chisci

Ercolini

Romano

et al. 2014

Annals of Vascular Surgery

View full text Add to dashboard Cite

Extensive clot propagation involving the aorta and brachiocephalic artery: unusual consequence of paradoxical embolism

Cited by 3 publications

References 0 publications

Acute Symptomatic Free-Floating Thrombus in the Innominate Artery, a Case Series

Acute Symptomatic Free-Floating Thrombus in the Innominate Artery, a Case Series

A Case of Acute Embolic Occlusion of the Brachiocephalic Artery Recanalized with Endovascular Thrombectomy

Successful Hybrid Management of Extensive Thromboembolism of the Innominate Trunk, Right Subclavian Artery, Bilateral Common Carotid Artery, and Pulmonary Embolism

Contact Info

Product

Resources

About