Transcranial Doppler detection of cerebral fat emboli and relation to paradoxical embolism: a pilot study.

@article{Forteza2011TranscranialDD,
  title={Transcranial Doppler detection of cerebral fat emboli and relation to paradoxical embolism: a pilot study.},
  author={Alejandro M Forteza and Sebastian Koch and Iszet Campo-Bustillo and Jose Gutierrez and D C Haussen and Alejandro A Rabinstein and Jose G. Romano and Gregory A. Zych and Robert Duncan},
  journal={Circulation},
  year={2011},
  volume={123 18},
  pages={1947-52}
}
BACKGROUND The fat embolism syndrome is clinically characterized by dyspnea, skin petechiae, and neurological dysfunction. It is associated mainly with long bone fracture and bone marrow fat passage to the systemic circulation. An intracardiac right-to-left shunt (RLS) could allow larger fat particles to reach the systemic circulation. Transcranial Doppler can be a useful tool to detect both RLS and the fat particles reaching the brain. METHODS AND RESULTS We prospectively studied patients… CONTINUE READING

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