Peer-reviewedCC BY-NC-NDInternal Medicine
Home Intravenous Heparin Therapy via a Central Venous Port for Recurrent Cancer-associated Stroke Requiring Repeat Mechanical Thrombectomy
Abstract
Cancer-associated stroke (CAS) presents significant challenges regarding secondary prevention. A 48-year-old woman with pancreatic cancer experienced two episodes of large-vessel occlusion stroke was treated by mechanical thrombectomy. Subcutaneous heparin was discontinued owing to skin reactions, and recurrence occurred despite the use of a direct oral anticoagulant. As an alternative, intravenous heparin was initiated at home via a chemotherapy port, using a portable infusion pump. This individualized approach was implemented without any major complications, and it may represent a practical option for patients with CAS who are either intolerant or refractory to conventional therapies.
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BibTeX
@article{kameda2026home,
title = {{Home Intravenous Heparin Therapy via a Central Venous Port for Recurrent Cancer-associated Stroke Requiring Repeat Mechanical Thrombectomy}},
author = {Tomoaki Kameda and Shunichi Okada and Risa Suzuki and Takahito Nishihira and Akito Mori and Yasuhiro Hidaka and Tadataka Kawakami and Shigeru Fujimoto},
journal = {Internal Medicine},
year = {2026},
month = jul,
doi = {10.2169/internalmedicine.6405-25},
url = {https://www.jstage.jst.go.jp/article/internalmedicine/65/14/65_6405-25/_article},
note = {CC BY-NC-ND},
}
RIS
TY - JOUR
TI - Home Intravenous Heparin Therapy via a Central Venous Port for Recurrent Cancer-associated Stroke Requiring Repeat Mechanical Thrombectomy
AU - Tomoaki Kameda
AU - Shunichi Okada
AU - Risa Suzuki
AU - Takahito Nishihira
AU - Akito Mori
AU - Yasuhiro Hidaka
AU - Tadataka Kawakami
AU - Shigeru Fujimoto
PY - 2026
DA - 2026/07/15
JO - Internal Medicine
DO - 10.2169/internalmedicine.6405-25
UR - https://www.jstage.jst.go.jp/article/internalmedicine/65/14/65_6405-25/_article
AB - Cancer-associated stroke (CAS) presents significant challenges regarding secondary prevention. A 48-year-old woman with pancreatic cancer experienced two episodes of large-vessel occlusion stroke was treated by mechanical thrombectomy. Subcutaneous heparin was discontinued owing to skin reactions, and recurrence occurred despite the use of a direct oral anticoagulant. As an alternative, intravenous heparin was initiated at home via a chemotherapy port, using a portable infusion pump. This individualized approach was implemented without any major complications, and it may represent a practical option for patients with CAS who are either intolerant or refractory to conventional therapies.
SN - 1349-7235
SN - 0918-2918
ER -