Paradoxical Brain Emboli Related to Heparin-Induced Thrombocytopenia after Catheter Ablation.
J Stroke Cerebrovasc Dis
; 24(8): e219-21, 2015 Aug.
Article
em En
| MEDLINE
| ID: mdl-25980337
ABSTRACT
BACKGROUND:
Thromboembolism associated with catheter ablation of atrial fibrillation has been considered to be derived from catheters, ablation sites, or a left atrial appendage. Paradoxical brain embolism due to iatrogenic shunt after catheter ablation has yet to be described.METHODS:
We described a patient with atrial fibrillation who developed acute ischemic stroke while coughing 36 hours after successful catheter ablation. He had venous thrombosis due to heparin-induced thrombocytopenia and a right-to-left shunt, likely due to a trans-septal puncture during catheter ablation.RESULTS:
The final diagnosis was paradoxical brain embolism associated with heparin-induced thrombocytopenia.CONCLUSIONS:
In addition to anticoagulation, we should pay attention to deep venous thrombosis including preventive intermittent compression for high-risk patients to reduce the risk of stroke after catheter ablation.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Trombocitopenia
/
Heparina
/
Ablação por Cateter
/
Embolia Paradoxal
/
Fibrinolíticos
Limite:
Aged
/
Humans
/
Male
Idioma:
En
Revista:
J Stroke Cerebrovasc Dis
Assunto da revista:
ANGIOLOGIA
/
CEREBRO
Ano de publicação:
2015
Tipo de documento:
Article