Cerebral embolism after mechanical thrombolysis of a clotted hemodialysis access.
Clinically significant embolic complications after thrombolysis of clotted hemodialysis grafts are uncommon. Most of the concern has focused on the risks associated with pulmonary emboli. We report a case of a hemodialysis patient who developed a cerebral embolism after percutaneous graft thrombolysis who was found to have a patent foramen ovale and intermittent right-to-left shunt.
Briefel
G R
GR
Department of Medicine, Johns Hopkins-Bayview Medical Center, Baltimore, MD, USA. gbriefe@jhmi.edu
Regan
F
F
Petronis
J D
JD
D000368:Aged; D001166:Arteriovenous Shunt, Surgical; D002404:Catheterization / Q000009:adverse effects*; D019320:Embolism, Paradoxical / Q000209:etiology*; D006083:Graft Occlusion, Vascular / Q000628:therapy*; D006801:Humans; D002542:Intracranial Embolism and Thrombosis / Q000209:etiology*; D008297:Male; D006435:Renal Dialysis; D015912:Thrombolytic Therapy / Q000009:adverse effects*; D013927:Thrombosis / Q000628:therapy*