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C-1408 - Cardiac Sources of Vascular Embolism – Spectrum of Imaging Findings

M. M. Coman1, A. Nicolescu2, S. Manole3; 1 Campia Turzii/RO 2 London/UK 3 Cluj-Napoca/RO Type: Educational Exhibit
Area of Interests: CNS, Extremities, Cardiovascular system
Imaging Techniques: MR, CT-Angiography, MR-Angiography
Procedures: Education, Diagnostic procedure
Special Focuses: Embolism / Thrombosis, Ischemia / Infarction, Cancer
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Learning objectives: · To illustrate the imaging findings of cardiogenic vascular embolism and its consequences in frequently and infrequently affected organs, with special focus on computed tomography (CT) and magnetic resonance imaging (MRI). · To review potential sources of cardiac embolism and describe their charac[...]

Background: Vascular occlusions comprise a wide spectrum of potentially severe pathologies that often constitute medical or surgical emergencies. The heart is the major source of arterial embolism, but it cand also be, more rarely, a source of venous occlusion. The majority of emboli originate in the left [...]

Findings and procedure details: ♦  Imaging Approach- identifying the source of embolism  ♦  Echocardiography: 1. Transthoracic (TTE): - Initial imaging modality of choice for patients with suspected embolism and cardiac masses. - Widespread availability, lack of iodinated contrast material or radiation exposure,[...]

Conclusion: Once the diagnosis has been established and emergency therapeutic management has been conducted, the identification of the embolic source becomes of major importance, in view of preventing recurrent disease. In this setting, considering the high frequency of cardiac embolic events, cardiac imaging b[...]

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References: 1. Buckley O, Madan R, Kwong R et al. Cardiac masses, part 1: Imaging strategies and technical considerations. Am J Roentgenol. 2011; 197: W837–41. 2. Lyaker MR, Tulman DB, Dimitrova GT et al. Arterial embolism. International Journal of Critical Illness and Injury Science. 2013;3(1):77-8. 3. Ngukhoo[...]

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