Why the study?
Does intra-arterial thrombolysis recanalize occluded middle cerebral arteries in patients with acute brain ischemia from presumed atrial myxoma?
Does intra-arterial thrombolysis recanalize occluded middle cerebral arteries in patients with acute brain ischemia from presumed atrial myxoma?
Intra-arterial thrombolysis may be an effective treatment for recanalizing arterial occlusion from presumed atrial myxoma, with pre-treatment angiography recommended to exclude myxomatous pseudoaneurysm.
May support intra-arterial thrombolysis in myxoma embolism; hypothesis-generating and requires prospective validation.
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.
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Bekavac et al. (1997) studied this question.
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