Endovascular mechanical retrieval of a terminal internal carotid artery breast tumor embolus.
The authors report the case of an acute left middle cerebral artery distribution stroke caused by a terminal internal carotid artery occlusion in a patient who underwent endovascular mechanical embolectomy. Histopathological analysis of embolic material obtained from the mechanical retriever device was diagnostic of a high-grade phyllodes breast tumor. This case represents the first instance, to our knowledge, of tumor embolus extraction via mechanical retrieval during acute ischemic stroke intervention.
Bhatia
Sanjay
S
Department of Neurosurgery, Allegheny General Hospital, Comprehensive Stroke Center, Pittsburgh, Pennsylvania 15212, USA.
Ku
Andrew
A
Pu
Cunfeng
C
Wright
David G
DG
Tayal
Ashis H
AH
D000208:Acute Disease; D001943:Breast Neoplasms / Q000150:complications / Q000473:pathology*; D002343:Carotid Artery, Internal; D002533:Cerebral Angiography; D017128:Embolectomy / Q000379:methods; D004617:Embolism / Q000601:surgery*; D005260:Female; D006801:Humans; D020244:Infarction, Middle Cerebral Artery / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D008875:Middle Aged; D009360:Neoplastic Cells, Circulating; D003557:Phyllodes Tumor / Q000150:complications / Q000473:pathology* / Q000556:secondary; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome