Single-Session Direct Intrahepatic Portocaval Shunt and Portosplenomesenteric Thrombectomy Using Inari Flowtriever Large Bore Aspiration Catheter System: A Case Report

Abstract Background We present the case of a 75-year-old female with acute embolic cerebral infarction caused by a fail-implanted venous port catheter system in the left subclavian artery. Case presentation A 75-year-old woman presented to our emergency room after acute onset of a right-sided hemiparesis and dysarthria. Within 2 days after admission, she developed a left-sided hemiparesis, ataxia with concordant gait disturbance and incoordination of the left upper limb. DWI-MRI showed acute multiple infarcts in both cerebral and cerebellar hemispheres. Laboratory examination, 24-h Holter electrocardiography and transthoracic echocardiography provided no pathological findings. Further examination revealed an arterially fail-implanted port catheter, placed in the left subclavian artery with its tip overlying the ascending aorta, as the source of cerebral embolism. Conclusion This is the first case report of thromboembolic, cerebral infarction due to a misplaced venous port catheter in the subclavian artery, emphasizing the imperative need for a thorough diagnostic workup, when embolism is suspected but cannot be proven at first glance.

Download Full-text

Primary Epithelioid Hemangioma of the Central Nervous System: A Case Report and Review of the Literature

Journal of Neuropathology & Experimental Neurology ◽

10.1093/jnen/nlaa163 ◽

2021 ◽

Author(s):

Claudia Covelli ◽

Paola Parente ◽

Nadia Icolaro ◽

Lucia Maria Cecilia Dimitri ◽

Beatrice Vigna ◽

...

Keyword(s):

Central Nervous System ◽

Nervous System ◽

Case Report ◽

Review Of The Literature ◽

Epithelioid Hemangioma ◽

System A ◽

The Central Nervous System

Download Full-text

Abstract No. 128 Rapid single-session mechanical thrombectomy of lower extremity deep venous thrombosis using the ClotTriever system: a single-institution experience

Journal of Vascular and Interventional Radiology ◽

10.1016/j.jvir.2021.03.134 ◽

2021 ◽

Vol 32 (5) ◽

pp. S57

Author(s):

V. Wadhwa ◽

A. Malhotra ◽

A. Kesselman

Keyword(s):

Lower Extremity ◽

Venous Thrombosis ◽

Deep Venous Thrombosis ◽

Mechanical Thrombectomy ◽

Single Session ◽

Single Institution ◽

System A

Download Full-text

A Single-session Crisis Intervention Therapy Model for Emergency Psychiatry

Clinical Practice and Cases in Emergency Medicine ◽

10.5811/cpcem.2018.10.40443 ◽

2019 ◽

Vol 3 (1) ◽

pp. 27-32

Author(s):

Scott Simpson

Keyword(s):

Mental Health ◽

Case Report ◽

Crisis Intervention ◽

Psychiatric Hospitalization ◽

Anxiety And Depression ◽

Emergency Psychiatry ◽

Intervention Model ◽

Single Session ◽

Psychotherapeutic Interventions ◽

Therapy Model

Presentations for anxiety and depression constitute the fastest growing category of mental health diagnoses seen in emergency departments (EDs). Even non-psychiatric clinicians must be prepared to provide psychotherapeutic interventions for these patients, just as they might provide motivational interviewing for a patient with substance use disorders. This case report of an 18-year-old woman with suicidal ideation illustrates the practicality and utility of a brief, single-session, crisis intervention model that facilitated discharge from the ED. This report will help practitioners to apply this model in their own practice and identify patients who may require psychiatric hospitalization.

Download Full-text