Endovascular Renal Artery Stent Retriever Embolectomy in a Young Patient With Cardiac Myxoma: Case Report and Review of the Literature

Silva, Michael A.; See, Alfred P.; Shah, Samir K.; Khandelwal, Priyank; Patel, Nirav J.; Lyu, Heather; Menard, Matthew T.; Aziz-Sultan, Mohammad Ali

doi:10.1177/1538574417739746

Cited by 4 publications

(6 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A retrospective review of 436 acute ischemic stroke patients who underwent mechanical thrombectomy using ADAPT revealed a reasonable treatment for the patients with acute BAO. 13 – 15) In the previous case reports about the mechanical thrombectomy for cardiac tumor and stent retriever, 8 , 9) ADAPT was successfully performed. 10 , 11) Regarding the present case, ADAPT technique would be recommended when the patient acute cerebral artery occlusion associated with a radiological finding of lung tumor invading pulmonary vein because the thrombi might be too hard to be grasped by stent retriever.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

A Direct Aspiration First Pass Technique for Basilar Artery Occlusion Caused by Elastic-hard Tumor Embolus via the Pulmonary Vein by Metastatic Prostate Adenocarcinoma: A Case Report

Nishi

Goto

Yamanaka

et al. 2021

NMC Case Report Journal

View full text Add to dashboard Cite

Basilar artery occlusion (BAO) accounts for only 1% of all strokes, and cerebral infarction resulting from tumor emboli has been infrequently demonstrated; therefore, few reports described BAO due to tumor embolus and its treatment experience. We report here an 83-year-old man with an acute BAO caused by embolized lung tumor invading right pulmonary vein that was revealed as metastasis of prostate adenocarcinoma. The patient underwent rapid recanalization through acute thrombectomy with a direct aspiration first pass technique (ADAPT) with Penumbra catheter. Successful recanalization was achieved in reperfusion grade of thrombolysis in cerebral infarction (TICI) 2b, and the embolus revealed a highly elastic hard tumorous mass of which texture was too tough to be caught by stent retriever. Immunohistopathologic examination of the embolus revealed adenocaricinoma of the prostate. In spite of that the recanalization was obtained, the patient died of the brain stem infarction after 7 days from the onset. We experienced a rare case of acute BAO caused by embolized prostate cancer metastasizing lung and invading pulmonary vein. When we face to patients with lung tumor invading pulmonary vein, tumor embolus should have been strongly considered and aspiration thrombectomy may be safer and more effective for the condition because of the difficulty of predicting an embolus’s texture before treatment.

show abstract

Section: Discussionmentioning

confidence: 99%

“… 4 – 7) Tumor emboli generally occur in patients with cardiac tumor, 8 – 11) pulmonary cancer, 4 , 5 , 7) or focal cerebral metastatic tumor, 5) and previous case report demonstrated the successful recanalization by mechanical thrombectomy. 8 , 9) …”

Section: Introductionmentioning

confidence: 99%

A Direct Aspiration First Pass Technique for Basilar Artery Occlusion Caused by Elastic-hard Tumor Embolus via the Pulmonary Vein by Metastatic Prostate Adenocarcinoma: A Case Report

Nishi

Goto

Yamanaka

et al. 2021

NMC Case Report Journal

View full text Add to dashboard Cite

show abstract

“…The microcatheters usually have .021 to .027-inch inner diameters. 6 Complications of SR use include arterial perforation (.9-4.9%), intracerebral hemorrhage (3.6-9.3%), subarachnoid hemorrhage (.6-4.9%), arterial dissection (.6-3.9%), distal embolization (1-8.6%), vasospasm (3.9-23%), clot fragmentation (rare), and stenosis. 10 Multiple SR designs exist in the market and several experiments have tested the efficacy of thrombus removal based on different device components and techniques.…”

Section: Sr History Technique and Designmentioning

confidence: 99%

“…1 Specifically, interventional radiologists have previously implemented direct thrombolysis, aspiration, stenting, angioplasty, snaring, and rheolytic mechanical thrombectomy as a form of endovascular treatment. 6 Surgery is less common due to its higher morbidity and mortality but should be considered in patients with peritonitis or with evidence of infarcted bowel as it allows for direct bowel exploration and potential resection. 5 Innovative means of removing intra-abdominal arterial occlusions have included the off-label use of stent retrievers (SRs), endovascular tools traditionally used for management of intracranial vascular thrombosis in patients with acute strokes.…”

Section: Introductionmentioning

confidence: 99%

Peripheral Non-cerebrovascular Arterial Stent Retriever Applications

Moran¹,

Lookstein

Ranade

2021

Vasc Endovascular Surg

View full text Add to dashboard Cite

Several treatment options exist for acute intra-abdominal arterial thromboembolic events, including systemic thrombolytics, endovascular therapy, and less commonly surgery. A novel alternative treatment intervention for acute intra-abdominal arterial thrombus is the use of stent retriever (SR) devices, tools traditionally applied for treatment of acute vascular thrombosis in stroke patients. This brief report presents two cases of acute intra-abdominal arterial thrombosis successfully managed by deployment of SRs. Furthermore, it details the history, device mechanism, and design of SRs and describes cases in literature involving effective extracranial SR application.

show abstract

“…22 Stenting after thrombectomy is less common. 31 It is advisable to choose treatment tactics based on the degree of thrombosis. In case of incomplete thrombosis, conservative anticoagulant therapy demonstrates good results (renal function decrease after 2.5 years by 9%), complete thrombosis requires endovascular thrombectomy (renal function decrease after a year by 27%).…”

Section: Introductionmentioning

confidence: 99%

Rare Clinical Cases of Renal Artery Thrombosis

Vorobev

Белобородов

Балабина

et al. 2021

Bangladesh J Med Sci

View full text Add to dashboard Cite

Objective: Renal vascular thrombosis is a thrombotic blockage of the major renal arteries resulting in acute damage or chronic kidney disease. The study aims to analyze rare clinical cases of renal artery thrombosis with following renal infarction. Materials and methods: The article present a retrospective study of examination and treatment results of patients diagnosed with the renal arteries thrombosis in the urological hospital of the Irkutsk Clinical Hospital No. 1 in the period 2012-2020. Results and Discussion: During the entire observation period, there were two clinical cases of acute renal artery thrombosis. The 86-year-old woman developed thrombosis because of atrial fibrillation, which was probably the result of inadequate correction (insufficient dose of anticoagulant). Kidney infarction had complications like rapid suppuration because of chronic urinary infection and calculus of the renal pelvis. It resulted in nephrectomy with subsequent recovery. The second case was the 45-year-old man examined according to existing standards, and the diagnosed-on time in the first hours of the disease. However, complete thrombosis of the right renal artery neutralized the effectiveness of conservative therapy with warfarin. In this case, nephrosclerosis and renal failure were natural. Conclusion: Renal artery thrombosis is a rare pathology that requires special attention from the clinician due to the high risk of renal function loss. Timely diagnosis and correct treatment tactics are especially important. Bangladesh Journal of Medical Science Vol.20(3) 2021 p.550-555

show abstract

Endovascular Renal Artery Stent Retriever Embolectomy in a Young Patient With Cardiac Myxoma: Case Report and Review of the Literature

Cited by 4 publications

References 24 publications

A Direct Aspiration First Pass Technique for Basilar Artery Occlusion Caused by Elastic-hard Tumor Embolus via the Pulmonary Vein by Metastatic Prostate Adenocarcinoma: A Case Report

A Direct Aspiration First Pass Technique for Basilar Artery Occlusion Caused by Elastic-hard Tumor Embolus via the Pulmonary Vein by Metastatic Prostate Adenocarcinoma: A Case Report

Peripheral Non-cerebrovascular Arterial Stent Retriever Applications

Rare Clinical Cases of Renal Artery Thrombosis

Contact Info

Product

Resources

About