Intra-arterial thrombolysis of embolic proximal middle cerebral artery occlusion from presumed atrial myxoma

The role of thrombolysis in brain ischemia in patients with atrial myxoma is unknown. A patient with acute brain ischemia and previously undiagnosed atrial myxoma recanalized an occluded middle cerebral artery with intra-arterial thrombolysis. Arterial occlusion from presumed myxoma may be amenable...

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Veröffentlicht in:	Neurology 1997-08, Vol.49 (2), p.618-620
Hauptverfasser:	BEKAVAC, I, HANNA, J. P, WALLACE, R. C, POWERS, J, RATLIFF, N. B, FURLAN, A. J
Format:	Artikel
Sprache:	eng
Schlagworte:	Biological and medical sciences Blood. Blood coagulation. Reticuloendothelial system Carotid Arteries - diagnostic imaging Cerebral Angiography Cerebral Arteries - diagnostic imaging Female Heart Atria Heart Neoplasms - complications Humans Injections, Intra-Arterial Intracranial Embolism and Thrombosis - drug therapy Intracranial Embolism and Thrombosis - etiology Medical sciences Middle Aged Myxoma - complications Pharmacology. Drug treatments Thrombolytic Therapy Urokinase-Type Plasminogen Activator - therapeutic use
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Zusammenfassung:	The role of thrombolysis in brain ischemia in patients with atrial myxoma is unknown. A patient with acute brain ischemia and previously undiagnosed atrial myxoma recanalized an occluded middle cerebral artery with intra-arterial thrombolysis. Arterial occlusion from presumed myxoma may be amenable to fibrinolysis. Angiography before treatment in patients with atrial myxoma excludes a myxomatous pseudoaneurysm and permits site-specific thrombolytic instillment.
ISSN:	0028-3878 1526-632X
DOI:	10.1212/wnl.49.2.618