Paradoxical embolus following percutaneous thrombectomy of hemodialysis reliable outflow graft

Brian Gilmore1, Ehsan Benrashid1, Linda Marie Youngwirth1

  • 1Division of Vascular Surgery, Department of Surgery, Duke University Medical Center, Durham, North Carolina - USA.

Percutaneous interventions to maintain or re-establish patent vascular access are common and often necessary for patients on hemodialysis. This case illustrates an extremely rare but potentially devastating complication of one of these procedures: cerebrovascular insult due to paradoxical embolism in the setting of a patent foramen ovale.

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