Open AccessAcute stroke from paradoxical embolism of dense fibrous tissue following pacemaker lead extraction: salvation by mechanical thrombectomy
Author(s) -
Dayal Nicolas B.,
Narata Ana Paula,
Burri Haran
Publication year - 2016
Publication title -
clinical case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.21
H-Index - 9
ISSN - 2050-0904
DOI - 10.1002/ccr3.461
Subject(s) - medicine , patent foramen ovale , stroke (engine) , embolism , complication , embolization , embolic stroke , intracranial embolism , paradoxical embolism , acute stroke , surgery , radiology , cardiology , ischemic stroke , mechanical engineering , percutaneous , ischemia , tissue plasminogen activator , engineering
Key Clinical Message Systemic embolization is a dreaded complication of transvenous lead extraction ( TLE ), even without visible vegetations. Preoperative patent foramen ovale evaluation is important, justifying neurological surveillance or consideration of surgical extraction in selected cases. In case of stroke after TLE , mechanical thrombectomy is a successful therapy, and should be readily available.