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Elliot L. Chaikof, MD, PhD, Brian E. Campbell, BA, Robert B. Smith, MD 

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Presentation on theme: "Elliot L. Chaikof, MD, PhD, Brian E. Campbell, BA, Robert B. Smith, MD "— Presentation transcript:

1 Paradoxical embolism and acute arterial occlusion: Rare or unsuspected? 
Elliot L. Chaikof, MD, PhD, Brian E. Campbell, BA, Robert B. Smith, MD  Journal of Vascular Surgery  Volume 20, Issue 3, Pages (September 1994) DOI: / (94)90135-X Copyright © 1994 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

2 Fig. 1 Contrast arteriography demonstrates occlusion of common femoral artery. Complete dissolution of thrombus after intraarterial urokinase infusion. Journal of Vascular Surgery  , DOI: ( / (94)90135-X) Copyright © 1994 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

3 Fig. 2 Cardiac catheterization demonstrating probable path of paradoxical embolus through PVO and into left atrium (LA) and left ventricle (LV). Small amount of contrast partially outlines left ventricle. Journal of Vascular Surgery  , DOI: ( / (94)90135-X) Copyright © 1994 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

4 Fig. 3 Right to left shunting is demonstrated. Catheter is located in right atrium near PFO. Dark arrow points out PFO, and white arrow reveals blush of dye into left atrium. Journal of Vascular Surgery  , DOI: ( / (94)90135-X) Copyright © 1994 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

5 Fig. 4 Suggested algorithm for management of paradoxical embolism (PE). Journal of Vascular Surgery  , DOI: ( / (94)90135-X) Copyright © 1994 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

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