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Cerebral embolism after mechanical thrombolysis of a clotted hemodialysis access
G R Briefel1, F Regan, J D Petronis
1Department of Medicine, Johns Hopkins-Bayview Medical Center, Baltimore, MD, USA. gbriefe@jhmi.edu
Abstract:
Clinically significant embolic complications after thrombolysis of clotted hemodialysis grafts are uncommon. Most of the concern has focused on the risks associated with pulmonary emboli. We report a case of a hemodialysis patient who developed a cerebral embolism after percutaneous graft thrombolysis who was found to have a patent foramen ovale and intermittent right-to-left shunt.