{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,21]],"date-time":"2025-11-21T16:09:10Z","timestamp":1763741350338,"version":"3.45.0"},"reference-count":19,"publisher":"American Animal Hospital Association","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of the American Animal Hospital Association"],"published-print":{"date-parts":[[2005]]},"abstract":"<jats:p>A cat was evaluated for a 5-year history of progressive, episodic, exercise-induced cyanosis and panting. Diagnostic testing demonstrated tetralogy of Fallot with predominant right-to-left shunting and right-sided heart failure. Following diagnostic catheterization, the cat developed clinical signs consistent with systemic arterial thromboembolization and was euthanized. Necropsy findings included multiple thrombi within the right atrium and ventricle, and thromboemboli within the terminal aorta and right common carotid artery, a condition most consistent with iatrogenic paradoxical embolization secondary to diagnostic catheterization. Paradoxical embolization and thromboembolic complications of diagnostic catheterization are discussed.<\/jats:p>","DOI":"10.5326\/0410193","type":"journal-article","created":{"date-parts":[[2014,9,15]],"date-time":"2014-09-15T12:17:50Z","timestamp":1410783470000},"page":"193-197","source":"Crossref","is-referenced-by-count":7,"title":["Suspected Iatrogenic Paradoxical Embolization in a Cat"],"prefix":"10.5326","volume":"41","author":[{"given":"Henry W.","family":"Green","sequence":"first","affiliation":[{"name":"Department of Veterinary Clinical Sciences, School of Veterinary Medicine, Purdue University, West Lafayette, Indiana 47907-1248"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel F.","family":"Hogan","sequence":"additional","affiliation":[{"name":"Department of Veterinary Clinical Sciences, School of Veterinary Medicine, Purdue University, West Lafayette, Indiana 47907-1248"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3280","reference":[{"key":"R1","series-title":"Circ","first-page":"1","volume":"37","year":"1968","unstructured":"Braunwald E, Gorlin R, McIntosh HD, et al. Cooperative study on cardiac catheterization.\n          Circ\n          1968;37(May 5 Suppl):1\u2013113."},{"key":"R2","series-title":"Cathet Cardiovasc Diagn","first-page":"13","volume":"8","year":"1982","unstructured":"Gwost J, Stoebe T, Chesler E, et al. Analysis of the complications of cardiac catheterization over nine years.\n          Cathet Cardiovasc Diagn\n          1982;8:13\u201321."},{"key":"R3","series-title":"Am J Cardiol","first-page":"1481","volume":"65","year":"1990","unstructured":"Davidson CJ, Mark DB, Pieper KS, et al. Thrombotic and cardiovascular complications related to nonionic contrast media during cardiac catheterization: analysis of 8,517 patients.\n          Am J Cardiol\n          1990;65:1481\u20131485."},{"key":"R4","series-title":"Neurol","first-page":"1356","volume":"36","year":"1986","unstructured":"Biller J, Adams Jr HP, Johnson MR, et al. Paradoxical cerebral embolism: eight cases.\n          Neurol\n          1986;36:1356\u20131360."},{"key":"R5","series-title":"Ped Neurol","first-page":"270","volume":"24","year":"2001","unstructured":"Liu XY, Wong V, Leung M. Neurologic complications due to catheterization.\n          Ped Neurol\n          2001;24:270\u2013275."},{"key":"R6","series-title":"Yale J Biol Med","first-page":"11","volume":"66","year":"1993","unstructured":"Lippman H, Rafferty T. Patent foramen ovale and paradoxical embolization: a historical perspective.\n          Yale J Biol Med\n          1993;66:11\u201317."},{"year":"2001","key":"R7","unstructured":"Friedman WF, Silverman N. Diseases of the heart, pericardium, and pulmonary vascular bed. In: Braunwald E, Zipes DP, Libby P, eds. Heart Disease, a Textbook of Cardiovascular Medicine. Philadelphia: WB Saunders,\n          2001:1505\u20131591."},{"key":"R8","series-title":"Circ","first-page":"565","volume":"53","year":"1976","unstructured":"Cheng TO. 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Impending paradoxic embolism in acute pulmonary embolism: diagnosis by trans-esophageal echocardiography and treatment by emergent surgery.\n          Am Heart J\n          1995;129:826\u2013827."},{"key":"R12","series-title":"Ped Cardiol","first-page":"44","volume":"11","year":"1990","unstructured":"Geva T, Frand M, Benjamin P, et al. Cerebral embolization from an inferior vena cave thrombus in tetralogy of Fallot.\n          Ped Cardiol\n          1990;11:44\u201346."},{"key":"R13","series-title":"Br Heart J","first-page":"163","volume":"65","year":"1991","unstructured":"Speechly-Dick ME, Middleton SJ, Foale RA. Impending paradoxical embolism: a rare but important diagnosis.\n          Br Heart J\n          1991;65:163\u2013168."},{"key":"R14","series-title":"Arch Intern Med","first-page":"1720","volume":"158","year":"1998","unstructured":"Cheng TO. Impending paradoxical embolism.\n          Arch Intern Med\n          1998;158:1720."},{"key":"R15","series-title":"Clinica Chimica Acta","first-page":"135","volume":"307","year":"2001","unstructured":"Muller-Bardoff M, Strasser RH, Schon S, et al. Evaluation of CoaguChek Pro ACT in cardiac catheterization laboratory.\n          Clinica Chimica Acta\n          2001;307:135\u2013138."},{"year":"1990","key":"R16","unstructured":"Lubell DL, ed. The Cath Lab: An Introduction. Philadelphia: Lea & Febiger,\n          1990:79\u201380."},{"year":"2001","key":"R17","unstructured":"Pompa JJ, Kuntz RE. Percutaneous coronary and valvular intervention. In: Braunwald E, Zipes DP, Libby P, eds. Heart Disease, a Textbook of Cardiovascular Medicine. Philadelphia: WB Saunders,\n          2001:1364\u20131405."},{"key":"R18","series-title":"J Am Coll Cardiol","first-page":"1285","volume":"19","year":"1992","unstructured":"Cassidy SC, Schmidt KG, Van Hare GF, et al. Complications of pediatric cardiac catheterization: a 3-year study.\n          J Am Coll Cardiol\n          1992;19:1285\u20131293."},{"key":"R19","series-title":"J Am Coll Cardiol","first-page":"725","volume":"25","year":"1995","unstructured":"Grady RM, Eisenberg PR, Bridges ND. Rational approach to use of heparin during cardiac catheterization in children.\n          J Am Coll Cardiol\n          1995;25:725\u2013729."}],"container-title":["Journal of the American Animal Hospital Association"],"original-title":[],"link":[{"URL":"https:\/\/jaaha.kglmeridian.com\/view\/journals\/aaha\/41\/3\/article-p193.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/meridian.allenpress.com\/jaaha\/article-pdf\/41\/3\/193\/1330691\/0410193.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/jaaha.kglmeridian.com\/downloadpdf\/journals\/aaha\/41\/3\/article-p193.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/jaaha.kglmeridian.com\/downloadpdf\/journals\/aaha\/41\/3\/article-p193.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,21]],"date-time":"2025-11-21T15:51:36Z","timestamp":1763740296000},"score":1,"resource":{"primary":{"URL":"https:\/\/jaaha.kglmeridian.com\/view\/journals\/aaha\/41\/3\/article-p193.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2005]]},"references-count":19,"journal-issue":{"issue":"3"},"URL":"https:\/\/doi.org\/10.5326\/0410193","relation":{},"ISSN":["0587-2871","1547-3317"],"issn-type":[{"type":"print","value":"0587-2871"},{"type":"electronic","value":"1547-3317"}],"subject":[],"published":{"date-parts":[[2005]]}}}