Case Report of Multiembolic Cerebrovascular Event Associated with Ramp Study Echocardiogram. (28th September 2017)

• Record Type: Journal Article
• Authors: Butera, Brian C.; Grazette, Luanda P.; Lawrence, Tracy; Bowdish, Michael E.; Yoon, Andrew J.
• Other Names: Akdemir Ramazan Academic Editor.
• Is Part Of: Case reports in cardiology. Volume 2017(2017)
• Publication Date: 2017-09-28
• Subjects: Cardiology -- Periodicals; 616.12005
• DOI: 10.1155/2017/9072523
• Languages: English
• ISSNs: 2090-6404

Abstract

Abstract : The incidence of ramp test echocardiogram-associated embolic events in the setting of therapeutic anticoagulation is likely rare and has not been reported. We present such a case in a patient with a HeartMate II left ventricular assist device (LVAD) whose serial head computed tomography images, deteriorating clinical course, and the multiembolic nature of the event suggest causality. If the pretest probability of pump thrombosis in an individual LVAD patient is sufficiently high, the potential risks of performing a ramp study echocardiogram may not be warranted, even in the setting of adequate anticoagulation.