Mechanical Thrombectomy for Internal Carotid Artery Occlusion in a Patient with POEMS Syndrome

OBJECTIVE: To report a case of mechanical thrombectomy (MT) for internal carotid artery (ICA) occlusion in a patient with polyneuropathy, organomegaly, endocrinopathy, monoclonal gammopathy, and skin changes (POEMS) syndrome, a rare systemic disease associated with plasma cell proliferation. CASE PR...

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Detalles Bibliográficos
Autores principales: Kogiku, Minoru, Abe, Katsutoshi, Nozaki, Toshiki, Noda, Masayuki, Kishi, Hirohisa, Ishibashi, Toshihiro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society for Neuroendovascular Therapy 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10370668/
https://www.ncbi.nlm.nih.gov/pubmed/37502731
http://dx.doi.org/10.5797/jnet.cr.2020-0034
Descripción
Sumario:OBJECTIVE: To report a case of mechanical thrombectomy (MT) for internal carotid artery (ICA) occlusion in a patient with polyneuropathy, organomegaly, endocrinopathy, monoclonal gammopathy, and skin changes (POEMS) syndrome, a rare systemic disease associated with plasma cell proliferation. CASE PRESENTATION: A 52-year-old woman was taking steroids due to autoimmune hepatitis. She was diagnosed with acute cerebral infarction due to left ICA occlusion. Although MT was performed, recanalization was not achieved. Therefore, recanalization was carried out using a vasodilator and percutaneous transluminal angioplasty (PTA) in combination. CONCLUSION: PTA may be effective for large-vessel occlusion (LVO) in patients with POEMS syndrome.

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