Letter regarding “Combined aspiration thrombectomy and continuous intrasinus thrombolysis for cerebral venous sinus thrombosis: technical note and case series”

2019 ◽  
Vol 61 (8) ◽  
pp. 845-846
Author(s):  
Samuele Cioni ◽  
Tommaso Casseri ◽  
Ignazio M. Vallone ◽  
Paola Gennari ◽  
Daniele G. Romano ◽  
...  
Keyword(s):  
Sinus Thrombosis ◽  
Case Series ◽  
Cerebral Venous Sinus Thrombosis ◽  
Technical Note ◽  
Venous Sinus ◽  
Aspiration Thrombectomy ◽  
Venous Sinus Thrombosis

Combined aspiration thrombectomy and continuous intrasinus thrombolysis for cerebral venous sinus thrombosis: technical note and case series

2018 ◽  
Vol 60 (10) ◽  
pp. 1093-1096 ◽  
Author(s):  
Anderson Chun On Tsang ◽  
A. C. Hwang ◽  
R. H. Y. Chiu ◽  
D. Y. C. Chan ◽  
F. C. P. Tsang ◽  
...  
Keyword(s):  
Sinus Thrombosis ◽  
Case Series ◽  
Cerebral Venous Sinus Thrombosis ◽  
Technical Note ◽  
Venous Sinus ◽  
Aspiration Thrombectomy ◽  
Venous Sinus Thrombosis

Mechanical Thrombectomy for Cerebral Venous Sinus Thrombosis: A Case Series and Technical Note

2020 ◽  
Vol 140 ◽  
pp. 148-161
Author(s):  
Gorky Medhi ◽  
Subhendu Parida ◽  
Patrick Nicholson ◽  
Satya Bhusan Senapati ◽  
Bimal Prasad Padhy ◽  
...  
Keyword(s):  
Mechanical Thrombectomy ◽  
Sinus Thrombosis ◽  
Case Series ◽  
Cerebral Venous Sinus Thrombosis ◽  
Technical Note ◽  
Venous Sinus ◽  
Venous Sinus Thrombosis

Abstract 3070: Assessment of Manual Aspiration Therapy for the Treatment of Sinus Thrombosis

Stroke ◽  
2012 ◽  
Vol 43 (suppl_1) ◽  
Author(s):  
Lance Bodily ◽  
Mouhammad Jumaa ◽  
Syed Zaidi ◽  
Tudor Jovin ◽  
Brian Jankowitz
Keyword(s):  
Sinus Thrombosis ◽  
Anticoagulation Therapy ◽  
Stable Condition ◽  
Standard Of Care ◽  
Mass Effect ◽  
Cerebral Venous Sinus Thrombosis ◽  
Venous Sinus ◽  
Motor Deficits ◽  
Aspiration Thrombectomy ◽  
Venous Sinus Thrombosis

Objective: While hydration and anticoagulation is typically the standard of care for cerebral venous sinus thrombosis, some patients remain refractory to medical management and continue to deteriorate. In these instances a number of more aggressive endovascular techniques have been reported to remove clots and restore blood flow in the venous sinuses. These techniques include direct thrombolysis, angioplasty, and various methods to disrupt and aspirate clot. Here we present the technique of endovascular transvenous manual aspiration thrombectomy (MAT) in five patients. Methods: We reviewed the records of five patients with medically refractory cerebral venous sinus thrombosis who received transvenous MAT. Presentation, technique, and outcome were evaluated. Results: Out of the five cases reviewed presentation included vomiting, dehydration, mental status changes, headaches, and acute motor deficits. On imaging three of the five patients had hemorrhage, edema, and mass effect present before treatment, while two had edema only. All of the patients reviewed were treated with anticoagulation therapy, intravenous heparin or subcutaneous lovenox, for a minimum of 24 hours. However, all of the patients continued to deteriorate despite early and aggressive medical anticoagulation therapy. All of the patients demonstrated rapid and progressive worsening of their neurological exam pre-operatively, including lack of arousal, pathological posturing, and expansion of secondary hemorrhages. This rapid deterioration warranted aggressive intervention, making the patients candidates for endovascular therapy. Direct thrombolysis with tPA was utilized with MAT via a distal access catheter(DAC) in all but one patient in which tPA was not used due to concern for hemorrhage. Aspiration of the superior sagittal sinus, transverse sinuses, straight sinus, and internal jugular were all included in this series. Catheters included the 0.070, 0.057, and 0.044 DAC and the 0.054 Penumbra microcatheter. Revascularization was achieved in all instances. One patient presented and remained neurologically devastated. She died 5 days after treatment. All other patients experienced improvement in their neurological examinations and were eventually discharged from the hospital in stable condition. Conclusions: Endovascular transvenous MAT is a feasible and effective revascularization technique to treat patients with cerebral venous sinus thrombosis.

scholarly journals Cerebral venous sinus thrombosis complicated by subdural hematomas: Case series and literature review

2013 ◽  
Vol 4 (1) ◽  
pp. 85 ◽  
Author(s):  
PaulT Akins ◽  
YekaterinaK Axelrod ◽  
Cheng Ji ◽  
JeremyN Ciporen ◽  
SyedT Arshad ◽  
...  
Keyword(s):  
Literature Review ◽  
Sinus Thrombosis ◽  
Case Series ◽  
Cerebral Venous Sinus Thrombosis ◽  
Venous Sinus ◽  
Venous Sinus Thrombosis ◽  
Subdural Hematomas

Manual aspiration thrombectomy for cerebral venous sinus thrombosis

2012 ◽  
Vol 5 (6) ◽  
pp. 534-538 ◽  
Author(s):  
Brian Thomas Jankowitz ◽  
Lance Matukas Bodily ◽  
Mouhammad Jumaa ◽  
Zaidi F Syed ◽  
Tudor G Jovin
Keyword(s):  
Sinus Thrombosis ◽  
Cerebral Venous Sinus Thrombosis ◽  
Venous Sinus ◽  
Aspiration Thrombectomy ◽  
Venous Sinus Thrombosis

scholarly journals Combined use of stent-retriever and aspiration thrombectomy for cerebral venous sinus thrombosis involving the straight sinus: A case report

2017 ◽  
Vol 23 (6) ◽  
pp. 605-608 ◽  
Author(s):  
Syunsuke Taniguchi ◽  
Kei Harada ◽  
Masahito Kajihara ◽  
Kozo Fukuyama
Keyword(s):  
Sinus Thrombosis ◽  
Anticoagulation Therapy ◽  
Cerebral Venous Sinus Thrombosis ◽  
Stent Retriever ◽  
Venous Sinus ◽  
Aspiration Thrombectomy ◽  
Venous Sinus Thrombosis ◽  
Straight Sinus ◽  
Combined Use ◽  
Level Of Consciousness

Cerebral venous sinus thrombosis (CVST) is generally treated with anticoagulation therapy, however, endovascular therapy is considered for refractory cases. A 42-year-old woman presented with a progressive disturbance in consciousness, and diagnosed CVST in the straight sinus (SS). Recanalization of SS was achieved by emergent thrombectomy using aspiration catheter and stent-retriever system, and her level of consciousness improved immediately. The combined use of them aided the removal of the thrombus located in the SS.

Cerebral venous sinus thrombosis: a case series including thrombolysis

2009 ◽  
Vol 94 (10) ◽  
pp. 790-794 ◽  
Author(s):  
A A Mallick ◽  
P M Sharples ◽  
S E Calvert ◽  
R W A Jones ◽  
M Leary ◽  
...  
Keyword(s):  
Sinus Thrombosis ◽  
Case Series ◽  
Cerebral Venous Sinus Thrombosis ◽  
Venous Sinus ◽  
Venous Sinus Thrombosis
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