Amplatzer vascular plug IV for occlusion of pulmonary arteriovenous malformations in a patient with cryptogenic stroke

Reddy, Sunil; Patel, Vishal; Gualano, Sarah K.

doi:10.4103/0974-2069.132498

Cited by 12 publications

(10 citation statements)

References 14 publications

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“…Although use of a vascular plug was reported previously in treatment of pulmonary AV malformations,11 this is the first time it was used in a patient with direct RPA to LA communication. We believe, whenever the device is being taken from a pulmonary arterial (PA) aspect, an AVP is preferred over a duct occluder.…”

Section: Discussionmentioning

confidence: 93%

Transcatheter closure of direct right pulmonary artery to left atrial communication using vascular plug

2015

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A direct right pulmonary artery to left atrial fistula is a rare congenital condition in which patients usually present with isolated cyanosis in the absence of abnormal cardiovascular findings. We report the percutaneous closure of such a defect in a young woman who presented with severe cyanosis. This was achieved without making a conventional venovenous loop and was performed using an Amplatzer vascular plug. We believe, in patients with a suitable anatomy, closure with vascular plug without a venovenous loop should be the method of choice for treating this malady in view of the technical ease.

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Section: Discussionmentioning

confidence: 93%

Transcatheter closure of direct right pulmonary artery to left atrial communication using vascular plug

2015

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“…Pulmonary AVMs have been identified as the source of CS in the literature. One case describes a 45-year-old woman with CS who complained of migraine symptoms and left-sided weakness 7. Symptoms resolved after her pulmonary AVM was repaired using an amplatzer vascular plug.…”

Section: Discussionmentioning

confidence: 99%

Atrial septal aneurysm with rare comorbid pulmonary arteriovenous malformation as aetiology for cryptogenic stroke

Bell¹,

Abu-Heija

Smith

et al. 2019

BMJ Case Rep

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Atrial septal aneurysms have two mechanisms for cardioembolic events. One is the aneurysm itself can act as a nidus for thrombus formation in the left atrium. The aneurysm creates an area of low turbulence leading to haemostasis allowing fibrin-platelet adhesions to form. If the clot is on the left atrial wall, it may be dislodged by oscillations of the septum and travel into the systemic circulation. The second mechanism is via, an often comorbid, interatrial shunt such as a Patent Foramen Ovale or Atrial Septal Defect. We report a unique case where the associated right to left shunt leading to the cryptogenic stroke is a pulmonary arteriovenous malformation.

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“…More than 50% of patients with PAVM are associated with hereditary hemorrhagic telangiectasia or Rendu-Osler-Weber syndrome [1,8], while isolated PAVMs are uncommon. To date, only few case reports of cryptogenic stroke from isolated PAVM have been described [1,2,9]. …”

Section: Discussionmentioning

confidence: 99%

Pulmonary Arteriovenous Malformation as a Cause of Embolic Stroke: Case Report and Review of the Literature

et al. 2014

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Background: Pulmonary arteriovenous malformation (PAVM) is an abnormal communication between pulmonary arteries and veins responsible for right-to-left shunting that could induce the development of embolic stroke. Summary: We describe an 82-year-old woman without history of respiratory or neurological diseases, who presented at our observation unit with acute onset of cerebral ischemia. Clinical, laboratory and radiological findings diagnosed a PAVM. Key Messages: Usually, endovascular procedures based on embolization or, alternatively, surgery represent the recommended treatment. However, both hormonal therapy and thrombolytic therapy can be used. In our patient, treatment with warfarin induced a remission of symptoms. This strategy should be tested in larger studies. i 2014 S. Karger AG, Basel

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Amplatzer vascular plug IV for occlusion of pulmonary arteriovenous malformations in a patient with cryptogenic stroke

Cited by 12 publications

References 14 publications

Transcatheter closure of direct right pulmonary artery to left atrial communication using vascular plug

Transcatheter closure of direct right pulmonary artery to left atrial communication using vascular plug

Atrial septal aneurysm with rare comorbid pulmonary arteriovenous malformation as aetiology for cryptogenic stroke

Pulmonary Arteriovenous Malformation as a Cause of Embolic Stroke: Case Report and Review of the Literature

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