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脊髓前动脉梗死后脑卵圆孔未闭的经皮封堵术

Percutaneous Closure of Patent Foramen Ovale after Anterior Spinal Cord Infarction.

作者信息

Reis João Ferreira, Loureiro Petra, Silva Rita Lopes, Martins José Diogo

机构信息

Department of Cardiology, Hospital de Santa Marta, Centro Hospitalar Universitário de Lisboa Central, Lisbon, Portugal.

Department of Pediatric Cardiology, Hospital de Santa Marta, Centro Hospitalar Universitário de Lisboa Central, Lisbon, Portugal.

出版信息

Case Rep Cardiol. 2022 Apr 20;2022:2171350. doi: 10.1155/2022/2171350. eCollection 2022.

DOI:10.1155/2022/2171350
PMID:35547864
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9085360/
Abstract

In patients with a patent foramen (PFO) who have had a cryptogenic ischemic stroke, percutaneous closure reduces its recurrence risk. However, its role in spinal cord infarction (SCI) is less well-established. A few case reports describe the putative causative role of PFO in SCI. We present a case of a teenager with cryptogenic anterior SCI in the setting of a deep vein thrombosis and a high risk-PFO who underwent successful percutaneous closure.

摘要

在患有卵圆孔未闭（PFO）且发生过隐源性缺血性卒中的患者中，经皮封堵可降低其复发风险。然而，其在脊髓梗死（SCI）中的作用尚不明确。一些病例报告描述了PFO在SCI中可能的致病作用。我们报告一例青少年患者，其在深静脉血栓形成和高危PFO情况下发生隐源性前脊髓梗死，接受经皮封堵治疗成功。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c5b/9085360/4e67b187b6b4/CRIC2022-2171350.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c5b/9085360/2a3c8b07926c/CRIC2022-2171350.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c5b/9085360/d183a52bbbf7/CRIC2022-2171350.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c5b/9085360/4e67b187b6b4/CRIC2022-2171350.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c5b/9085360/2a3c8b07926c/CRIC2022-2171350.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c5b/9085360/d183a52bbbf7/CRIC2022-2171350.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c5b/9085360/4e67b187b6b4/CRIC2022-2171350.003.jpg

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本文引用的文献

1
Atrial fibrillation after closure of patent foramen ovale in the REDUCE clinical study.在 REDUCE 临床研究中卵圆孔未闭封堵术后出现的心房颤动。
Catheter Cardiovasc Interv. 2022 Apr;99(5):1551-1557. doi: 10.1002/ccd.30019. Epub 2021 Nov 13.
2
Identification of High-Risk Patent Foramen Ovale Associated With Cryptogenic Stroke: Development of a Scoring System.识别与隐源性卒中相关的高危卵圆孔未闭：评分系统的建立。
J Am Soc Echocardiogr. 2019 Jul;32(7):811-816. doi: 10.1016/j.echo.2019.03.021. Epub 2019 May 23.
3
A Case of Paradoxical Embolism Causing Anterior Spinal Cord Syndrome and Acute Myocardial Infarction Following the Intradiscal Oxygen-Ozone Therapy.
一例椎间盘内氧-臭氧治疗后发生反常栓塞致脊髓前动脉综合征和急性心肌梗死的病例
Front Neurol. 2019 Feb 22;10:137. doi: 10.3389/fneur.2019.00137. eCollection 2019.
4
Patent Foramen Ovale Closure Versus Medical Therapy for Cryptogenic Stroke: Meta-Analysis of Randomised Trials.卵圆孔未闭封堵术与隐源性卒中的药物治疗：随机试验的荟萃分析
Heart Lung Circ. 2019 Apr;28(4):623-631. doi: 10.1016/j.hlc.2018.02.023. Epub 2018 Mar 12.
5
Cryptogenic Stroke and High-Risk Patent Foramen Ovale: The DEFENSE-PFO Trial.隐源性卒中与高风险卵圆孔未闭：DEFENSE-PFO 试验。
J Am Coll Cardiol. 2018 May 22;71(20):2335-2342. doi: 10.1016/j.jacc.2018.02.046. Epub 2018 Mar 12.
6
Patent Foramen Ovale Closure or Anticoagulation vs. Antiplatelets after Stroke.卵圆孔未闭封堵与卒中后抗凝或抗血小板治疗的比较
N Engl J Med. 2017 Sep 14;377(11):1011-1021. doi: 10.1056/NEJMoa1705915.
7
Long-Term Outcomes of Patent Foramen Ovale Closure or Medical Therapy after Stroke.卵圆孔未闭封堵或卒中后药物治疗的长期结局。
N Engl J Med. 2017 Sep 14;377(11):1022-1032. doi: 10.1056/NEJMoa1610057.
8
Patent Foramen Ovale Closure or Antiplatelet Therapy for Cryptogenic Stroke.卵圆孔未闭封堵或抗血小板治疗不明原因卒中。
N Engl J Med. 2017 Sep 14;377(11):1033-1042. doi: 10.1056/NEJMoa1707404.
9
Spinal cord infarction and patent foramen ovale: is there a link?脊髓梗死与卵圆孔未闭：存在关联吗？
Case Rep Neurol. 2014 Jun 20;6(2):188-92. doi: 10.1159/000364900. eCollection 2014 May.
10
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