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

I Bekavac; J P Hanna; R C Wallace; J Powers; N B Ratliff; A J Furlan

doi:10.1212/wnl.49.2.618

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

Neurology. 1997 Aug;49(2):618-20. doi: 10.1212/wnl.49.2.618.

Authors

I Bekavac¹, J P Hanna, R C Wallace, J Powers, N B Ratliff, A J Furlan

Affiliation

¹ Department of Neurology, Cleveland Clinic Foundation, OH 44195, USA.

PMID: 9270611
DOI: 10.1212/wnl.49.2.618

Abstract

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.

Publication types

Case Reports

MeSH terms

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*
Middle Aged
Myxoma / complications*
Thrombolytic Therapy*
Urokinase-Type Plasminogen Activator / therapeutic use*

Substances

Urokinase-Type Plasminogen Activator