Mechanical thrombectomy in patients with tumour-related ischaemic stroke.
Ischaemic stroke is a common cause of death and incapacity and is related in most cases to vascular disease. Intracranial vessel occlusion due to tumour emboli is a rare entity and adequate treatment for this condition is not defined. The use of mechanical thrombectomy devices is considered the treatment of choice for major intracranial vessel occlusion; however, no recommendation can be made in the case of tumour thrombembolia. This report describes two cases who presented with a middle cerebral artery occlusion due to tumour emboli and that were treated using the Solitaire thrombectomy device.
Endoluminal/Vascular Department, Hospiten Clinic Group, Spain tobiaszander@gmx.de.
Tobias
T
Zander
Interventional Radiology Department, ARABA University Hospital, Spain.
Javier
J
Maynar
Interventional Radiology Department, ARABA University Hospital, Spain.
Fernando
F
López-Zárraga
Endoluminal/Vascular Department, Hospiten Clinic Group, Spain.
Rogelio
R
Herrera
Stroke Unit, ARABA University Hospital, Spain.
Juan José
JJ
Timiraos-Fernández
Endoluminal/Vascular Department, Hospiten Clinic Group, Spain.
Andrea
A
Saraceni
Endoluminal/Vascular Department, Hospiten Clinic Group, Spain.|University of Las Palmas de Gran Canarias, Spain.
Manuel
M
Maynar
D000230:Adenocarcinoma / Q000150:complications; D002545:Brain Ischemia / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery*; D000072226:Computed Tomography Angiography; D005260:Female; D006338:Heart Neoplasms / Q000150:complications; D006801:Humans; D020244:Infarction, Middle Cerebral Artery; D008175:Lung Neoplasms / Q000150:complications; D008297:Male; D008875:Middle Aged; D020768:Middle Cerebral Artery / Q000000981:diagnostic imaging; D009232:Myxoma / Q000150:complications; D009360:Neoplastic Cells, Circulating; D020521:Stroke / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery*; D017131:Thrombectomy / Q000379:methods*; D016896:Treatment Outcome
Stroke; thrombectomy; tumour
J Stroke Cerebrovasc Dis. 2005 Jan-Feb;14(1):39-41
17903996
J Stroke Cerebrovasc Dis. 2009 Sep-Oct;18(5):398-402
19717026
Arch Neurol. 2009 Sep;66(9):1174-5
19752313
J Thromb Thrombolysis. 2010 Oct;30(3):340-1
20174855
Interv Neuroradiol. 2014 May-Jun;20(3):345-51
24976098
N Engl J Med. 2015 Jan 1;372(1):11-20
25517348
Stroke. 2015 Jun;46(6):1447-52
25944328
Emergencias. 2016 Feb;28(1):41-44
29094826
Stroke. 1988 Nov;19(11):1435-40
3188128
N Engl J Med. 1995 Dec 14;333(24):1610-7
7477198
J Am Soc Echocardiogr. 1995 Jan-Feb;8(1):97-9
7710758