Journal of Neuroendovascular Therapy
Online ISSN : 2186-2494
Print ISSN : 1882-4072
ISSN-L : 1882-4072
CASE REPORTS
Mechanical Thrombectomy for Internal Carotid Artery Occlusion in a Patient with POEMS Syndrome
Minoru KogikuKatsutoshi AbeToshiki NozakiMasayuki NodaHirohisa KishiToshihiro Ishibashi
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JOURNAL OPEN ACCESS

2021 Volume 15 Issue 3 Pages 181-188

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Abstract

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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© 2021 The Japanese Society for Neuroendovascular Therapy

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