title: Paradoxical embolus following percutaneous thrombectomy of hemodialysis reliable outflow graft.
abstract: Percutaneous interventions to maintain or re-establish patent vascular access are common and often necessary for patients on hemodialysis. This case illustrates an extremely rare but potentially devastating complication of one of these procedures: cerebrovascular insult due to paradoxical embolism in the setting of a patent foramen ovale.
authors.affiliation: Division of Vascular Surgery, Department of Surgery, Duke University Medical Center, Durham, North Carolina - USA.
authors.forename: Brian
authors.initials: B
authors.lastname: Gilmore
authors.affiliation: Division of Vascular Surgery, Department of Surgery, Duke University Medical Center, Durham, North Carolina - USA.
authors.forename: Ehsan
authors.initials: E
authors.lastname: Benrashid
authors.affiliation: Division of Vascular Surgery, Department of Surgery, Duke University Medical Center, Durham, North Carolina - USA.
authors.forename: Linda Marie
authors.initials: LM
authors.lastname: Youngwirth
authors.affiliation: Division of Vascular Surgery, Department of Surgery, Duke University Medical Center, Durham, North Carolina - USA.
authors.forename: Jeffrey Harold
authors.initials: JH
authors.lastname: Lawson
mesh_terms: D000328:Adult; D001166:Arteriovenous Shunt, Surgical / Q000009:adverse effects / Q000295:instrumentation*; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects / Q000295:instrumentation*; D018618:Echocardiography, Doppler, Color; D017548:Echocardiography, Transesophageal; D019320:Embolism, Paradoxical / Q000175:diagnosis / Q000209:etiology*; D004867:Equipment Design; D054092:Foramen Ovale, Patent / Q000150:complications* / Q000175:diagnosis; D006083:Graft Occlusion, Vascular / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D006801:Humans; D007676:Kidney Failure, Chronic / Q000150:complications / Q000175:diagnosis / Q000628:therapy*; D008297:Male; D006435:Renal Dialysis; D012307:Risk Factors; D017131:Thrombectomy / Q000009:adverse effects*; D013927:Thrombosis / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D016896:Treatment Outcome; D014654:Vascular Patency