Treatment options for cerebral venous thrombosis

2000 ◽  
Vol &NA; (1266) ◽  
pp. 3
Author(s):  
&NA;
Keyword(s):  
Venous Thrombosis ◽  
Cerebral Venous Thrombosis ◽  
Treatment Options

Cerebral Venous Thrombosis

2018 ◽  
pp. 253-264
Author(s):  
Juan Ramos-Canseco ◽  
Maxim Mokin
Keyword(s):  
Venous Thrombosis ◽  
Cerebral Venous Thrombosis ◽  
Treatment Options ◽  
Correct Diagnosis ◽  
Heart Association ◽  
Diagnostic Value ◽  
Surgical Interventions ◽  
Evidence Based Guidelines ◽  
And Control

Establishing the diagnosis of cerebral venous thrombosis (CVT) can often be challenging to physicians. CVT presents with variable symptoms, resulting in delay in establishing the correct diagnosis and treatment. This chapter provides practical recommendations on the currently available diagnostic and treatment options in patients with suspected acute CVT. The diagnostic value of computed tomography, magnetic resonance imaging, and catheter angiography are also discussed. This chapter also includes recommendations for medical treatment with systemic anticoagulation, the role of endovascular therapy, and indications for surgical interventions including hemicraniectomy and control of intracranial pressure. Formal evidence-based guidelines released by the American Heart Association in 2011 are also outlined in this chapter.

scholarly journals Successful Endovascular Treatment of Cerebral Venous Thrombosis With a Novel, Larger Aspiration Catheter (REACT): A Case Report

2020 ◽  
Author(s):  
Kaushik Sundar ◽  
Sabharisundarvel Paulraj ◽  
Shuvro Roy Choudhury ◽  
Haseeb Hassan ◽  
Judhajit Sengupta ◽  
...  
Keyword(s):  
Venous Thrombosis ◽  
Medical Management ◽  
Cerebral Venous Thrombosis ◽  
Lower Risk ◽  
Mechanical Thrombectomy ◽  
Treatment Options ◽  
Rare Clinical Entity ◽  
Modified Rankin Scale ◽  
Clinical Presentations ◽  
Hemorrhagic Complications

Cerebral venous thrombosis (CVT) is a rare clinical entity, with clinical presentations extending from headache and seizures to coma and death. For adults developing progressive neurological worsening despite adequate medical management, endovascular thrombolysis and/or mechanical thrombectomy may be considered as treatment options. We present one such patient with CVT who developed seizures and slipped into a coma, despite best medical management. A large-bore aspiration catheter was used as a standalone system for the endovascular procedure. The venous sinuses were successfully re-canalized. The patient was discharged a week later with a modified Rankin scale of 2. Studies show that endovascular thrombolysis used alone or in conjunction with thrombectomy for CVT has a higher risk of hemorrhagic complications. If we were to use mechanical thrombectomy devices (that are specifically designed for intracranial clot retrieval) as a stand-alone system, we would probably have better clinical outcomes with a lower risk of hemorrhagic complications.

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