J Korean Neurol Assoc.  2024 Nov;42(4):361-365. 10.17340/jkna.2024.0056.

Recurrent Fatal Thrombo-embolism during the Intra-arterial Thrombectomy in Patients with Sarcomatoid Carcinoma

Affiliations
  • 1Department of Neurology, Pusan National University Yangsan Hospital, Pusan National University School of Medicine, Busan, Korea
  • 2Department of Radiology, Pusan National University Yangsan Hospital, Pusan National University School of Medicine, Busan, Korea

Abstract

Cancer-related stroke is occasionally observed in elderly patients, with varying risks depending on the cancer type. Traditionally, lung and pancreatic cancers exhibit the highest stroke risk by increased venous thromboembolism associated with cancer-induced hypercoagulability. However, we present a novel case of immediate recurrent thrombosis in separate large vessels, including the basilar and internal carotid arteries, during endovascular thrombectomy. Retrieved thrombus was identified as cancer cells in a patient with sarcomatoid carcinoma and multifocal metastases to the spine and iliacus muscle.

Keyword

Stroke; cancer-related; Carcinoma; sarcomatoid; Recurrent thrombosis
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