1.Vacuum-Assisted Thrombo-Aspiration for Paradoxical Embolism in Left Renal Artery:A Case Report and Literature Review
Dimitrios DIAMANTOPOULOS-KOGKAS ; Pavlos GEORGIOU ; Christos PITROS ; Chrysanthi PAPAGEORGOPOULOU ; Marios PAPASOTIRIOU ; Nikolaos KARYDIS ; Nikolaos KOUTSOYIANNIS ; Athina MOUGIOU ; Konstantinos KATSANOS ; Spyros PAPADOULAS
Vascular Specialist International 2024;40(2):21-
Paradoxical embolism through the foramen ovale is a rare and devastating event requiring urgent treatment. Herein, we present the case of a 23-year-old male who presented with a pulmonary embolism complicated by a left renal artery paradoxical embolism. Urgent vacuum-assisted thrombo-aspiration restored normal perfusion of the left kidney within 5 hours. The patient had a patent foramen ovale and heterozygous thrombophilia. However, a radioisotopic scan performed 2 years later revealed an unexpected decrease in left renal perfusion. Therefore, despite the angiographic success, functional evaluation using a renal scan should be performed to assess renal function.
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