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植入封堵器八年后因卵圆孔未闭封堵器血栓形成导致的复发性中风

Recurrent Stroke due to Patent Foramen Ovale Closure Device Thrombus Eight Years after Implantation.

作者信息

Kodankandath Thomas V, Mishra Sanskriti, Libman Richard B, Wright Paul

机构信息

Department of Neurology, Hofstra Northwell School of Medicine, North Shore University Hospital, Manhasset, New York.

Department of Neurology, Hofstra Northwell School of Medicine, North Shore University Hospital, Manhasset, New York.

出版信息

J Stroke Cerebrovasc Dis. 2016 Sep;25(9):e161-2. doi: 10.1016/j.jstrokecerebrovasdis.2016.06.037. Epub 2016 Jul 18.

DOI:10.1016/j.jstrokecerebrovasdis.2016.06.037
PMID:27444520
Abstract

Patent foramen ovale (PFO) is a common heart defect and is found in about 25% of the general population. Although randomized trials have failed to show the superiority of percutaneous closure of PFO over medical management, the number of patients with closure device placement has grown over the years. Delayed complications from PFO closure are rare. We present a case of cardioembolic stroke secondary to a mobile thrombus on a PFO closure device 8 years after implantation.

摘要

卵圆孔未闭(PFO)是一种常见的心脏缺陷,在普通人群中约25%的人存在该情况。尽管随机试验未能显示经皮闭合卵圆孔未闭比药物治疗更具优势,但多年来植入闭合装置的患者数量仍在增加。卵圆孔未闭闭合的延迟并发症很少见。我们报告一例在植入卵圆孔未闭闭合装置8年后,因装置上的移动血栓继发心脏栓塞性卒中的病例。

相似文献

1
Recurrent Stroke due to Patent Foramen Ovale Closure Device Thrombus Eight Years after Implantation.植入封堵器八年后因卵圆孔未闭封堵器血栓形成导致的复发性中风
J Stroke Cerebrovasc Dis. 2016 Sep;25(9):e161-2. doi: 10.1016/j.jstrokecerebrovasdis.2016.06.037. Epub 2016 Jul 18.
2
Predictors of recurrent events in patients with cryptogenic stroke and patent foramen ovale within the CLOSURE I (Evaluation of the STARFlex Septal Closure System in Patients With a Stroke and/or Transient Ischemic Attack Due to Presumed Paradoxical Embolism Through a Patent Foramen Ovale) trial.CLOSURE I(评价 STARFlex 间隔封堵系统在因推测性反常栓塞引起的脑卒中和/或短暂性脑缺血发作的卵圆孔未闭患者中的应用)试验中,不明原因卒中合并卵圆孔未闭患者复发性事件的预测因素。
JACC Cardiovasc Interv. 2014 Aug;7(8):913-20. doi: 10.1016/j.jcin.2014.01.170.
3
Long-term results of a randomized trial comparing three different devices for percutaneous closure of a patent foramen ovale.经皮卵圆孔未闭封堵三种不同装置随机对照试验的长期结果。
Eur Heart J. 2013 Nov;34(43):3362-9. doi: 10.1093/eurheartj/eht283. Epub 2013 Jul 9.
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Risk of recurrent cerebrovascular events in patients with cryptogenic stroke or transient ischemic attack and patent foramen ovale: the FORI (Foramen Ovale Registro Italiano) study.卵圆孔未闭患者隐源性卒中和短暂性脑缺血发作后再发脑血管事件的风险:FORI(意大利卵圆孔未闭登记研究)。
Cerebrovasc Dis. 2011;31(2):109-16. doi: 10.1159/000321334. Epub 2010 Nov 17.
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Study design of the CLOSURE I Trial: a prospective, multicenter, randomized, controlled trial to evaluate the safety and efficacy of the STARFlex septal closure system versus best medical therapy in patients with stroke or transient ischemic attack due to presumed paradoxical embolism through a patent foramen ovale.CLOSURE I 试验的研究设计:一项前瞻性、多中心、随机、对照试验,旨在评估 STARFlex 间隔闭合系统与最佳药物治疗在卵圆孔未闭导致的卒中或短暂性脑缺血发作患者中的安全性和有效性。
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Late presentation of CardioSEAL PFO closure device fracture and thrombus formation three years after device implantation.心脏封堵器(CardioSEAL)植入三年后出现封堵器断裂及血栓形成的延迟表现。
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Percutaneous closure of patent foramen ovale in patients with cryptogenic embolism: a network meta-analysis.卵圆孔未闭患者隐源性栓塞的经皮封堵:网状荟萃分析。
Eur Heart J. 2015 Jan 7;36(2):120-8. doi: 10.1093/eurheartj/ehu292. Epub 2014 Aug 11.
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Transcatheter closure of patent foramen ovale in patients with paradoxical embolism. Procedural and follow-up results after implantation of the Starflex occluder device with conjunctive intensified anticoagulation regimen.反常栓塞患者卵圆孔未闭的经导管封堵。使用Starflex封堵器装置并联合强化抗凝方案后的手术及随访结果。
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Percutaneous closure of patent foramen ovale in cryptogenic embolism.经皮卵圆孔未闭封堵术治疗隐源性栓塞。
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Patent Foramen Ovale: Stroke and Device Closure.卵圆孔未闭:中风与器械封堵
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引用本文的文献

1
Recurrent stroke secondary to late patent foramen ovale-closure device thrombus: a case report.继发于晚期卵圆孔未闭封堵器血栓形成的复发性卒中:一例报告
Eur Heart J Case Rep. 2021 Aug 4;5(8):ytab313. doi: 10.1093/ehjcr/ytab313. eCollection 2021 Aug.