Reduced smoke-like echo and resolved thrombus in the left atrium with rivaroxaban therapy in an acute cardioembolic stroke patient

SaitoS.; TomitaH.; KimuraY.; ShirotoH.; HagiiJ.; MetokiN.; HitomiH.; KamadaT.; OsanaiT.; OkumuraK.; YasujimaM.

首页> 外文期刊>Journal of stroke and cerebrovascular diseases: The official journal of National Stroke Association >Reduced smoke-like echo and resolved thrombus in the left atrium with rivaroxaban therapy in an acute cardioembolic stroke patient

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Reduced smoke-like echo and resolved thrombus in the left atrium with rivaroxaban therapy in an acute cardioembolic stroke patient

机译：利伐沙班治疗可减轻急性心脏栓塞性中风患者左心房中类似烟雾的回声并消除血栓

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We report a case of a nonvalvular atrial fibrillation (NVAF) patient with acute cardioembolic stroke in whom rivaroxaban, an oral direct factor Xa inhibitor, reduced a smoke-like echo in the left atrium and resolved a thrombus in the left atrial appendage. A 71-year-old man was admitted because of the sudden onset of right hemiplegia and aphasia and was diagnosed with acute cardioembolic stroke associated with NVAF. The patient had not been treated with warfarin before admission, and rivaroxaban therapy (15 mg once daily) was initiated. Transesophageal echocardiography was performed on day 8 and a mobile thrombus was found in the left atrial appendage, accompanied by a remarkable smoke-like echo in the left atrium. Notably, the thrombus was resolved and the smoke-like echo was reduced on day 40. No recurrent ischemic stroke occurred. We describe favorable effects of rivaroxaban on the reduction of a smoke-like echo and on the resolution of a thrombus in the left atrium in an NVAF patient with acute cardioembolic stroke.

机译：我们报告一例急性心栓性中风的非瓣膜性心房颤动（NVAF）患者，其中利伐沙班（口服直接Xa抑制剂）降低左心房的烟雾样回声并消除了左心耳的血栓。一名71岁的男子因右偏瘫和失语症的突然发作而入院，并被诊断出患有NVAF的急性心脏栓塞性中风。患者入院前未接受过华法林治疗，因此开始利伐沙班治疗（每天一次15 mg）。在第8天进行了食道超声心动图检查，在左心耳中发现了可移动的血栓，并在左心房出现了明显的烟样回声。值得注意的是，在第40天，血栓得到了解决，烟样回声减少了。没有发生复发性缺血性中风。我们描述了利伐沙班对减少烟样回声和对急性心栓性卒中的NVAF患者左心房血栓的分辨率的有利影响。

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《Journal of stroke and cerebrovascular diseases: The official journal of National Stroke Association》 |2014年第6期|共3页
作者
SaitoS.; TomitaH.; KimuraY.; ShirotoH.; HagiiJ.; MetokiN.; HitomiH.; KamadaT.; OsanaiT.; OkumuraK.; YasujimaM.;
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中图分类神经病学与精神病学;
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reduction of a smoke-like echo; resolution of a thrombus; Rivaroxaban - nonvalvular atrial fibrillation;

机译：减少烟雾样回声;血栓消退;利伐沙班-非瓣膜性房颤;

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1. Reduced smoke-like echo and resolved thrombus in the left atrium with rivaroxaban therapy in an acute cardioembolic stroke patient [J] . SaitoS., TomitaH., KimuraY., Journal of stroke and cerebrovascular diseases: The official journal of National Stroke Association . 2014,第6期

机译：利伐沙班治疗可减轻急性心脏栓塞性中风患者左心房中类似烟雾的回声并消除血栓
2. Increase in the Size of an Intracardiac Thrombus during Dabigatran Therapy (110 mg b.i.d.) in an Acute Cardioembolic Stroke Patient [J] . Kokuba K., Komori M., Maeda K., Cerebrovascular Diseases Extra . 2013,第1期

机译：急性心血管栓塞性中风患者在达比加群治疗期间（110 mg b.i.d.）心内血栓大小增加
3. Left atrial deformation parameters predict left atrial appendage function and thrombus in patients in sinus rhythm with suspected cardioembolic stroke: A speckle tracking and transesophageal echocardiography study [J] . KarabayC.Y., ZehirR., GülerA., Echocardiography. . 2013,第5期

机译：疑似心脏栓塞性卒中的窦性心律患者的左心房变形参数可预测其左心耳功能和血栓：斑点追踪和经食道超声心动图研究
4. Lower-limb robot-assisted therapy in rehabilitation of acute and subacute stroke patients [C] . Sui Jianfeng, Yang Runze, Ji Linhong World Congress on Medical Physics and Biomedical Engineering . 2013

机译：下肢机器人辅助治疗急性和亚急性中风患者的康复
5. The Rate of Hemorrhagic Transformation and Safety of Antithrombotic Therapy in Pediatric Cardioembolic Arterial Ischemic Stroke [D] . ?Pulcine, Elizabeth 2020

机译：出血性转化率和抗血栓治疗的安全性在小儿心源性动脉缺血性中风
6. Increase in the Size of an Intracardiac Thrombus during Dabigatran Therapy (110 mg b.i.d.) in an Acute Cardioembolic Stroke Patient [O] . Emi Tabata, Masahiro Yasaka, Yoshiyuki Wakugawa, 2013

机译：急性心脏栓塞性中风患者在达比加群治疗期间（110 mg b.i.d.）心内血栓大小增加
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Reduced smoke-like echo and resolved thrombus in the left atrium with rivaroxaban therapy in an acute cardioembolic stroke patient

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