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New devices and techniques
Case report
Endovascular biopsy of a sigmoid sinus lesion using a stent retriever and aspiration catheter
  1. Kasra Khatibi1,
  2. Hamidreza Saber1,
  3. Ramin Javahery2,
  4. Naoki Kaneko1,
  5. Lucido Luciano Ponce Mejia1,
  6. Satoshi Tateshima1
  1. 1 Division of Interventional Neuroradiology, UCLA, Los Angeles, California, USA
  2. 2 Neurosurgery, Coast Neurosurgical Associates, Long Beach, California, USA
  1. Correspondence to Dr Kasra Khatibi, Division of Interventional Neuroradiology, UCLA, Los Angeles, California 90095, USA; kasra.khatibi{at}gmail.com

Abstract

A teenager with a history of acute myeloid leukemia presented with headache, nausea and blurry vision over a 2 week period. The MRI of the brain was concerning for the presence of a myeloid sarcoma within the right sigmoid sinus. For evaluation of venous obstruction and the underlying lesion the patient underwent a cerebral angiogram and transvenous biopsy of the sigmoid sinus lesion using a stent retriever and aspiration catheter. The tissue extracted was consistent with myeloid sarcoma. This pathologic finding was consistent with the recurrence of leukemia and guided the targeted oncologic treatment.

  • lesion
  • stent
  • vein

https://doi.org/10.1136/neurintsurg-2021-018121

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    Footnotes

    • Contributors KK and HS prepared the manuscript; all the other authors reviewed and edited the manuscript.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.

    • Supplemental material This content has been supplied by the author(s). It has not been vetted by BMJ Publishing Group Limited (BMJ) and may not have been peer-reviewed. Any opinions or recommendations discussed are solely those of the author(s) and are not endorsed by BMJ. BMJ disclaims all liability and responsibility arising from any reliance placed on the content. Where the content includes any translated material, BMJ does not warrant the accuracy and reliability of the translations (including but not limited to local regulations, clinical guidelines, terminology, drug names and drug dosages), and is not responsible for any error and/or omissions arising from translation and adaptation or otherwise.