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Mechanical endovascular treatment of acute stroke due to cardiac myxoma.
MedLine Citation:
PMID:  22791184     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
BackgroundMyxomas are rare cardiac tumors which often present with stroke caused by tumorous or thrombotic emboli. Treatment with intravenous recombinant tissue plasminogen activator (rtPA) and intra-arterial thrombolysis has been described previously but mechanical thrombectomy has not yet been reported, and treatment of myxoma-related ischemic stroke remains a clinical and technical challenge.MethodsTwo patients with ischemic stroke due to cardiac myxoma in which mechanical thrombectomy was performed are presented.ResultsEndovascular thrombectomy after intravenous rtPA (bridging therapy) was safely achieved in both cases, although with different clinical outcomes and degrees of recanalization.ConclusionsIn stroke secondary to cardiac myxoma, mechanical thrombectomy might represent a safe and effective treatment option. The authors suggest the use of histological examination of the clot for diagnosis as its composition may explain the differences in treatment outcome.
Authors:
Sara Garcia-Ptacek; Jordi A Matias-Guiu; Cristina Valencia-Sánchez; Alberto Gil; Israel Bernal-Becerra; Virginia De Las Heras-Revilla; Carmen Serna-Candel
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-7-12
Journal Detail:
Title:  Journal of neurointerventional surgery     Volume:  -     ISSN:  1759-8486     ISO Abbreviation:  -     Publication Date:  2012 Jul 
Date Detail:
Created Date:  2012-7-13     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101517079     Medline TA:  J Neurointerv Surg     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Department of Neurology, Hospital Clinico San Carlos, Madrid, Spain.
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