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Endovascular management of cerebral venous sinus thrombosis

Omar Choudhri1, Abdullah Feroze, Michael P Marks

  • 1Department of Neurosurgery & Interventional Neuroradiology, Stanford University Medical Centre, Stanford, California.

Neurosurgical Focus
|July 2, 2014
PubMed

Insights

Cerebral venous sinus thrombosis (CVST) is a serious condition involving blood clots in the brain. This case study details successful endovascular treatment for widespread CVST, offering a potential alternative for complex cases.

Area of Science:

  • Neurology
  • Vascular Medicine
  • Interventional Radiology

Background:

  • Cerebral venous sinus thrombosis (CVST) involves thrombus formation in cerebral veins, leading to potential complications like hypertension, infarcts, hemorrhage, and seizures.
  • Standard management for CVST typically involves systemic anticoagulation with heparin.
  • Endovascular strategies are considered for patients with CVST who deteriorate clinically despite anticoagulation.

Observation:

  • The case involves a patient with extensive CVST affecting the superior sagittal sinuses and bilateral transverse sigmoid sinuses.
  • The patient experienced clinical deterioration despite receiving heparin therapy.

Findings:

  • A combination of endovascular therapies was employed to recanalize the affected cerebral venous sinuses.
  • Successful recanalization was achieved through the endovascular approach.

Implications:

  • This case highlights the efficacy of combined endovascular therapies as a treatment option for complex and widespread CVST.
  • The findings suggest that endovascular intervention can be a valuable strategy for managing refractory CVST cases.
  • Further research into endovascular techniques for CVST may improve patient outcomes.

Keywords:
balloon embolectomyendovascularmechanical thrombectomysuction thrombectomyvenous sinus thrombosisvideo

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