دورية أكاديمية
Presentation, Diagnosis and Management of Innominate Artery Thromboembolism
| العنوان: | Presentation, Diagnosis and Management of Innominate Artery Thromboembolism |
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| المؤلفون: | Chang, Heepeel, Rockman, Caron B, Narula, Navneet, Sabari, Joshua K, Garg, Karan |
| المصدر: | NYMC Faculty Publications |
| بيانات النشر: | Touro Scholar |
| سنة النشر: | 2022 |
| المجموعة: | Touro College & University System: Touro Scholar |
| مصطلحات موضوعية: | aspiration catheter-directed mechanical thrombectomy, brachiocephalic artery, innominate artery, stroke, thromboembolism, Faculty, Medicine and Health Sciences |
| الوصف: | PURPOSE: Acute thromboembolic disease of the innominate artery (IA) poses a unique set of therapeutic challenges, owing to its contribution to both the cerebral and upper extremity circulation, and risks of distal embolization via the carotid and subclavian arteries, respectively. Herein, we present a 74-year-old female who presents with acute IA thrombus treated successfully with right axillary and common carotid exposure and aspiration catheter-directed mechanical thrombectomy (CDT). Furthermore, an emerging use of CDT and its application in acute thromboembolism are outlined. CASE REPORT: A 74-year-old female with history of right lung transplant for pulmonary fibrosis with severe pulmonary hypertension, and stage IIIA left lung adenocarcinoma status post left lower lobectomy undergoing adjuvant chemotherapy presented with acute IA thrombus and right-sided stroke. She was treated successfully with right axillary and common carotid exposure and aspiration CDT. Computed tomography angiography performed 1 month postoperatively confirmed patent IA with no evidence of residual or recurrent thrombus. CONCLUSION: There are currently no standard guidelines on the management of acute IA thromboembolism, with mostly individual cases reported in the literature describing this rare entity. Nevertheless, this unique clinical entity mandates expeditious diagnostic and therapeutic approaches in order to avoid permanent neurologic deficits from distal embolization. Our case demonstrates that aspiration CDT may be an effective treatment modality for patients with acute IA thrombus. |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | unknown |
| العلاقة: | https://touroscholar.touro.edu/nymc_fac_pubs/3774Test; https://pubmed.ncbi.nlm.nih.gov/34704504/?myncbishare=nymclibTest |
| DOI: | 10.1177/15266028211054765 |
| الإتاحة: | https://doi.org/10.1177/15266028211054765Test https://touroscholar.touro.edu/nymc_fac_pubs/3774Test https://pubmed.ncbi.nlm.nih.gov/34704504/?myncbishare=nymclibTest |
| رقم الانضمام: | edsbas.3C6FF62 |
| قاعدة البيانات: | BASE |
| DOI: | 10.1177/15266028211054765 |
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