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Utilizing Fusion Imaging Technology in Aspiration Thrombectomy and Transcatheter PFO Closure: A Novel Approach
Ali J Ebrahimi1, Mustafa Alkhawam1, Ekaterina Bakradze2
1Division of Cardiovascular Disease, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Summary
Impending paradoxical embolism through a patent foramen ovale is rare. A successful percutaneous treatment using fusion imaging for aspiration thrombectomy and PFO closure is presented.
Area of Science:
- Cardiology
- Interventional Cardiology
- Medical Technology
Background:
- Impending paradoxical embolism (IPDE) via patent foramen ovale (PFO) is a rare but life-threatening condition.
- Prompt diagnosis and intervention are critical for patient survival.
Purpose of the Study:
- To report a unique case of postthrombectomy IPDE through a PFO in a 45-year-old female.
- To highlight the successful use of fusion imaging (FI) technology in a combined interventional procedure.
Main Methods:
- A multidisciplinary team managed a patient with IPDE through PFO after thrombectomy.
- The patient underwent percutaneous aspiration thrombectomy followed by transcatheter PFO closure.
- Fusion imaging (EchoNavigator) guided the combined procedure.
Main Results:
- The combined procedure was highly successful, with no recurrence of thrombosis.
- The transcatheter PFO occluder was well-seated post-procedure.
- This represents the first reported use of FI technology in this specific combined intervention.
Conclusions:
- Percutaneous treatment guided by FI technology can be effective for managing IPDE through PFO.
- Further research is warranted to evaluate FI technology's benefits in such rare cardiovascular emergencies.
