Diagnostic Evaluation and Cervical Spine Surgery in the Setting of a Cardiac Left Ventricular Assist Device: Challenges and a Case Illustration. (Record no. 895)
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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 |
260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
Year | 2021 |
260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
Manufacturer | FY2022 |
260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
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. |
546 ## - LANGUAGE NOTE | |
Language note | English |
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM | |
Topical term or geographic name entry element | IN PROCESS -- NOT YET INDEXED |
656 ## - INDEX TERM--OCCUPATION | |
Department | MedStar Georgetown University Hospital/MedStar Washington Hospital Center |
656 ## - INDEX TERM--OCCUPATION | |
Department | Neurosurgery Residency |
657 ## - INDEX TERM--FUNCTION | |
Medline publication type | Case Reports |
700 ## - ADDED ENTRY--PERSONAL NAME | |
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 |
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 |
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MedStar Authors Catalog | MedStar Authors Catalog | 02/21/2022 | 34926043 | 34926043 | 02/21/2022 | 02/21/2022 | Journal Article |