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Abstrait
Stroke Following Radiofrequency Ablation of the Great Saphenous Vein
Seth Noland MD, Charles Hartranft DO and Michael Kunstmann DO
A 55-year-old woman underwent radiofrequency ablation of her great saphenous vein and phlebectomy. Upon recovery from anesthesia, the patient was unable to speak but could follow commands. Immediate magnetic resonance imaging showed small diffusion abnormalities in the left frontal lobe and parietal lobe cortex consistent with acute left-sided infarcts. Further evaluation showed normal carotid velocities with no evidence of stenosis and no plaque. Duplex scan showed no deep vein thrombus (DVT) in either extremity. However, transesophageal echocardiogram showed a patent foramen ovale. The patient was started on anticoagulation medication and had recovered to baseline status by hospital day six, allowing for discharge.