Mechanical thrombectomy with the penumbra system for treatment of venous sinus thrombosis

Choulakian, Armen; Alexander, Michael J.

doi:10.1136/jnis.2009.001651

Cited by 37 publications

(27 citation statements)

References 17 publications

(11 reference statements)

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“…Only anecdotal evidence for its efficacy is available. 212 The risks associated with use of the Penumbra System for cerebral venous thrombosis are likely similar to those seen with the Merci and AngioJet systems.…”

Section: Mechanical Thrombectomy/thrombolysismentioning

confidence: 91%

Diagnosis and Management of Cerebral Venous Thrombosis

Saposnik¹,

Barinagarrementería²,

Brown³

et al. 2011

Stroke

1,570

1,166

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Background— The purpose of this statement is to provide an overview of cerebral venous sinus thrombosis and to provide recommendations for its diagnosis, management, and treatment. The intended audience is physicians and other healthcare providers who are responsible for the diagnosis and management of patients with cerebral venous sinus thrombosis. Methods and Results— Members of the panel were appointed by the American Heart Association Stroke Council's Scientific Statement Oversight Committee and represent different areas of expertise. The panel reviewed the relevant literature with an emphasis on reports published since 1966 and used the American Heart Association levels-of-evidence grading algorithm to rate the evidence and to make recommendations. After approval of the statement by the panel, it underwent peer review and approval by the American Heart Association Science Advisory and Coordinating Committee. Conclusions— Evidence-based recommendations are provided for the diagnosis, management, and prevention of recurrence of cerebral venous thrombosis. Recommendations on the evaluation and management of cerebral venous thrombosis during pregnancy and in the pediatric population are provided. Considerations for the management of clinical complications (seizures, hydrocephalus, intracranial hypertension, and neurological deterioration) are also summarized. An algorithm for diagnosis and management of patients with cerebral venous sinus thrombosis is described.

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Section: Mechanical Thrombectomy/thrombolysismentioning

confidence: 91%

Diagnosis and Management of Cerebral Venous Thrombosis

Saposnik¹,

Barinagarrementería²,

Brown³

et al. 2011

Stroke

1,570

1,166

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“…Both the Penumbra aspiration system and the Solitaire FR device have been used separately for the treatment of CVST 10 11. However, none of the reported cases clearly demonstrates the benefit of either device for impeding fatal herniation with septal shift and avoidance of decompressive hemicraniectomy.…”

Section: Discussionmentioning

confidence: 99%

Successful treatment of extensive cerebral venous sinus thrombosis using a combined approach with Penumbra aspiration system and Solitaire FR retrieval device

Raychev

Tateshima²,

Rastogi³

et al. 2013

Case Reports

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We present a young woman with rapidly progressive neurologic decline in the setting of malignant cerebral edema due to extensive superior sagittal sinus thrombosis and cortical venous thrombosis despite intravenous heparin administration. Complete revascularization of the occluded sinus was achieved using suction thrombectomy with the 5 max Penumbra catheter in combination with the Solitaire FR clot retrieval device. The successful endovascular treatment halted the progression of her cerebral edema, and the patient eventually had an excellent recovery after prolonged intensive medical therapy. To our knowledge, this is the first reported case describing such a combined mechanical approach for cerebral venous sinus thrombosis. The clot retrieval properties of the Solitaire device combined with direct aspiration via the newest generation Penumbra catheters may allow more rapid, safe and efficient revascularization than all previously reported endovascular treatments for this potentially devastating condition.

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“…This device has a soft catheter allowing distal catheterization and at the same time it has an option for aspiration. Successful use of this device for recanalization in the cases of ATCVS, as reflected in the individual publications in recent years [18][19][20]22 allows us to suggest wider use of this safe and effective method of mechanical thrombus extraction in the near future.…”

Section: Resultsmentioning

confidence: 99%