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 to fibrinolysis. Angiography before treatment in patients with atrial myxoma excludes a myxomatous pseudoaneurysm and permits site-specific thrombolytic instillment.
Bekavac
I
I
Department of Neurology, Cleveland Clinic Foundation, OH 44195, USA.
Hanna
J P
JP
Wallace
R C
RC
Powers
J
J
Ratliff
N B
NB
Furlan
A J
AJ
D002339:Carotid Arteries / Q000000981:diagnostic imaging; D002533:Cerebral Angiography; D002536:Cerebral Arteries / Q000000981:diagnostic imaging; D005260:Female; D006325:Heart Atria; D006338:Heart Neoplasms / Q000150:complications*; D006801:Humans; D007269:Injections, Intra-Arterial; D002542:Intracranial Embolism and Thrombosis / Q000188:drug therapy* / Q000209:etiology*; D008875:Middle Aged; D009232:Myxoma / Q000150:complications*; D015912:Thrombolytic Therapy; D014568:Urokinase-Type Plasminogen Activator / Q000627:therapeutic use*
D014568:Urokinase-Type Plasminogen Activator