Obstetrics and Gynecology, Baylor University Medical Center, 621 N. Hall St Suite 500, Dallas, TX 75226, USA.
Int Urol Nephrol. 2013 Aug;45(4):1215-7. doi: 10.1007/s11255-012-0141-0. Epub 2012 Feb 25.
We present the first case of documented clot in-transit through a patent foramen ovale (PFO), caused by mechanical thrombectomy of a clotted AV fistula. Embolus after access thrombectomy is a rare, but known complication of the procedure. Paradoxical embolus is likewise a rare consequence of a right-sided clot, embolising to the left-sided circulation in a patient with a PFO. Suspected embolus through a PFO after dialysis access thrombectomy has been reported, but no case has ever documented the clot in-transit through the PFO.
我们报告了首例经卵圆孔未闭（PFO）转移的血栓病例，该血栓是由急性动静脉瘘血栓切除术引起的。血管通路血栓切除术后的栓塞是该手术罕见但已知的并发症。矛盾性栓塞也是右心系统血栓的罕见后果，在 PFO 患者中，血栓会向左心系统栓塞。在透析血管通路血栓切除术后，经 PFO 发生可疑栓塞已有报道，但从未有病例记录过血栓经 PFO 转移。
