Mechanical Thrombectomy for Cerebral Venous Sinus Thrombosis

Borhani‐Haghighi, Afshin; Mahmoodi, Mojtaba; Edgell, Randall C.; Cruz‐Flores, Salvador; Ghanaati, Hosein; Jamshidi, Mohammad Hossein; Zaidat, Osama O.

doi:10.1177/1076029612470968

Cited by 60 publications

(36 citation statements)

References 31 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…По данным отечественной и зарубежной на-учной литературы [9][10][11][12], современным подходом в лечении инфекционных венозных синус-тромбо-зов головного мозга является внутрисосудистый метод, который используется наиболее часто. Осуществление внутрисосудистой тромбэктомии возможно при наличии в составе МСС отделения интервенционной радиологии.…”

Section: рис 1 кт височных костей в аксиальной проекции (а-в) и голunclassified

Features of Diagnosis and Treatment of Patients With Otogenic Venous Sinus Thrombosis of the Brain

Krivopalov¹,

Янов²,

Щербук³

et al. 2018

VESTNIK KHIRURGII IMENI I.I.GREKOVA

View full text Add to dashboard Cite

Section: рис 1 кт височных костей в аксиальной проекции (а-в) и голunclassified

Features of Diagnosis and Treatment of Patients With Otogenic Venous Sinus Thrombosis of the Brain

Krivopalov¹,

Янов²,

Щербук³

et al. 2018

VESTNIK KHIRURGII IMENI I.I.GREKOVA

View full text Add to dashboard Cite

“…Haghighi et al, in a systematic review to evaluate the role of mechanical thrombectomy, reported that 62.5% patients had no or minor disability, 10.9% had a major disability, and 16.1% died after such procedures. [41] In a recent editorial by Murthy, it was concluded that endovascular therapy should be a treatment option in Neurology India / May 2015 / Volume 63 / Issue 3 patients who have neurological deterioration in spite of adequate supportive treatment and optimal AC, with no evidence of ICH, elevated intracranial pressure, or brain herniation. Mechanical thrombectomy may be the preferred option in patients with ICH.…”

Section: Endovascular Thrombolysismentioning

confidence: 99%

Cerebral venous thrombosis: An Indian perspective

2015

View full text Add to dashboard Cite

Cerebral venous thrombosis (CVT) is an uncommon cause of stroke with extremely varied clinical presentations, predisposing factors, imaging findings, and outcomes, and thus can be extremely challenging to diagnose. Accurate and prompt diagnosis of CVT is crucial because timely and appropriate therapy can reverse the disease process and significantly reduce the risk of acute complications and long-term squel. In this article, we have reviewed the epidemiology, causative factors, clinical features, diagnosis and treatment of CVT from an Indian perspective. Over the last decade, a change in trends in the causative factors has been noted from India.

show abstract

“…Mechanical thrombectomy can be performed alone or in combination with pharmacological thrombolysis. 4,5 In spite of limitations, mechanical devices such as balloon angioplasty, rheolytic catheters or snares have sometimes been used to disrupt and remove clot material. [6][7][8] Recently, some researchers attempted to make use of the Penumbra System (PS; Alameda, CA, USA) in the treatment of CVST, [9][10][11][12][13] which proved to be a novel device for the revascularization of large vessel thromboembolic occlusions in acute ischemic stroke.…”

Section: Introductionmentioning

confidence: 99%

“…1,2,3,4,5,6 Summary Cerebral venous sinus thrombosis (CVST) is an uncommon but potentially life-threatening condition. When showing resistance to treatment or a malignant progression despite anticoagulant therapy, endovascular interventional treatment is of help.…”

mentioning

confidence: 99%

Cerebral Venous Sinus Thrombosis: Successful Treatment of Two Patients Using the Penumbra System and Review of Endovascular Approaches

Liao¹,

Liu

et al. 2015

Neuroradiol J

View full text Add to dashboard Cite

Cerebral venous sinus thrombosis (CVST) is an uncommon but potentially life-threatening condition. When showing resistance to treatment or a malignant progression despite anticoagulant therapy, endovascular interventional treatment is of help. The Penumbra System (PS), a novel thrombectomy device specifically designed to remove the thrombus in acute ischemic stroke, also proved to be an effective device for mechanical recanalization of CVST. We first reported two cases successfully treated using the PS in the management of intractable CVST in Asia, and analyzed the technical differences of use of the device through a systematic review of the literature.One patient underwent mechanical thrombectomy of the thrombosed superior sagittal sinus using the 0.054-inch PS catheter when direct pharmacological thrombolysis failed. The other patient underwent mechanical thrombectomy using the 0.041-inch PS catheter with adjuvant local pharmacological thrombolysis. Literature reports on the use of the PS in patients with CVST were reviewed.Successful venous recanalization was achieved using the PS. The patients improved symptomatically following the intervention. Literature reports showed that the PS can be successfully applied for treatment of CVST, though the methods used previously were diverse.The PS has proved to be effective in the rapid recanalization of CVST, but different treatment techniques exist. The solution to these problems depends on more clinical trials as well as further improvements to devices.

show abstract

Mechanical Thrombectomy for Cerebral Venous Sinus Thrombosis

Abstract: Randomized multiinstitutional clinical trials with larger number of participants are needed to sufficiently compare the effect of intrasinus thrombolysis and mechanical thrombectomy to standard-of-care anticoagulation therapy.

Cited by 60 publications

References 31 publications

Features of Diagnosis and Treatment of Patients With Otogenic Venous Sinus Thrombosis of the Brain

Features of Diagnosis and Treatment of Patients With Otogenic Venous Sinus Thrombosis of the Brain

Cerebral venous thrombosis: An Indian perspective

Cerebral Venous Sinus Thrombosis: Successful Treatment of Two Patients Using the Penumbra System and Review of Endovascular Approaches

Contact Info

Product

Resources

About