Diagnostic Evaluation and Cervical Spine Surgery in the Setting of a Cardiac Left Ventricular Assist Device: Challenges and a Case Illustration. (Record no. 895)

MARC details
000 -LEADER
fixed length control field 02384nam a22003257a 4500
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fixed length control field 220221s20212021 xxu||||| |||| 00| 0 eng d
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code 10.7759/cureus.19571 [doi]
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code PMC8671078 [pmc]
040 ## - CATALOGING SOURCE
Original cataloging agency Ovid MEDLINE(R)
099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC)
PMID 34926043
245 ## - TITLE STATEMENT
Title Diagnostic Evaluation and Cervical Spine Surgery in the Setting of a Cardiac Left Ventricular Assist Device: Challenges and a Case Illustration.
251 ## - Source
Source Cureus. 13(11):e19571, 2021 Nov.
252 ## - Abbreviated Source
Abbreviated source Cureus. 13(11):e19571, 2021 Nov.
253 ## - Journal Name
Journal name Cureus
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Year 2021
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Manufacturer FY2022
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Publication date 2021 Nov
265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE]
Publication status epublish
266 ## - Date added to catalog
Date added to catalog 2022-02-21
520 ## - SUMMARY, ETC.
Abstract Due to incompatibility with magnetic resonance imaging, patients with left ventricular assist devices (LVADs) presenting with pathologies of the spinal soft tissues or neural elements represent diagnostically complex cases. We present a case of a patient undergoing a CT (computed tomography) myelogram and subsequent successful cervical posterior laminectomy. A C1-C2 lateral puncture approach CT myelogram revealed nearly a complete block of contrast movement at the level of the C2-C3 vertebrae concerning a compressive etiology. The cervical lateral approach was chosen based on patient symptomology and concern that contrast dye injected in the lumbar spine would not travel to the region of interest due to altered CSF pulsatility caused by the LVAD device. A C3-C7 posterior laminectomy was then successfully performed. Intra-operatively, however, there was no sign of a compressive lesion, and ultrasound confirmed a decompressed spinal cord. This case highlights the diagnostic challenges of pre-operative evaluation in patients with LVADs in which the efficacy of performing CT myelograms is also questionable due to potential alterations in cerebrospinal fluid movement due to variations in arterial pulsatility due to LVAD physiology. Copyright (c) 2021, Carroll et al.
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Language note English
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element IN PROCESS -- NOT YET INDEXED
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Department MedStar Georgetown University Hospital/MedStar Washington Hospital Center
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Department Neurosurgery Residency
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Medline publication type Case Reports
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Local Authors Dowlati, Ehsan
790 ## - Authors
All authors Carroll AH, Dowlati E, Felbaum DR, Miller C
856 ## - ELECTRONIC LOCATION AND ACCESS
DOI <a href="https://dx.doi.org/10.7759/cureus.19571">https://dx.doi.org/10.7759/cureus.19571</a>
Public note https://dx.doi.org/10.7759/cureus.19571
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Koha item type Journal Article
Item type description Article
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Withdrawn status Lost status Damaged status Not for loan Collection Home library Current library Date acquired Total Checkouts Full call number Barcode Date last seen Price effective from Koha item type
          MedStar Authors Catalog MedStar Authors Catalog 02/21/2022   34926043 34926043 02/21/2022 02/21/2022 Journal Article

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