RT Journal Article SR Electronic T1 Transcranial Doppler of a Paradoxical Brain Embolism Associated with a Pulmonary Arteriovenous Fistula JF American Journal of Neuroradiology JO Am. J. Neuroradiol. FD American Society of Neuroradiology SP 1881 OP 1884 VO 20 IS 10 A1 Kazumi Kimura A1 Kazuo Minematsu A1 Kuniyasu Wada A1 Masahiro Yasaka A1 Masafumi Tagaya A1 Sachio Kuribayashi A1 Takenori Yamaguchi YR 1999 UL http://www.ajnr.org/content/20/10/1881.abstract AB Summary: We herein report the case of a patient who had paradoxical brain embolism owing to a pulmonary arteriovenous fistula (PAVF) who was diagnosed as having a right-to-left shunt by transcranial Doppler (TCD) with saline contrast medium. TCD with saline contrast medium failed to detect any high-intensity transient signals immediately after catheter embolization of the PAVF. Thus, TCD with saline contrast medium was useful for identifying the presence of a right-to-left shunt and for confirming that the shunt had been obliterated after endovascular treatment.