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Endovascular suction thrombectomy for severe cerebral venous sinus thrombosis: A report of two cases

Ahmed A Najjar1, Jameel K Rasheedi2, Khalil I Kurdi3

  • 1Division of Neurosurgery, Faculty of Medicine, King Abdulaziz University, Jeddah, KSA.

Journal of Taibah University Medical Sciences
|August 23, 2019
PubMed

Insights

Cerebral venous sinus thrombosis (CVST) can be fatal despite anticoagulation. Endovascular clot removal via suction thrombectomy offers a promising, safe treatment for extensive CVST, improving sinus recanalization and patient outcomes.

Area of Science:

  • Neurology
  • Vascular Surgery
  • Interventional Radiology

Background:

  • Cerebral venous sinus thrombosis (CVST) is a serious condition with varied symptoms, from headaches to life-threatening intracranial pressure.
  • Standard anticoagulation therapy for CVST has limitations, with a significant mortality risk due to incomplete venous recanalization.

Observation:

  • Two cases of extensive CVST with neurological decline despite anticoagulation were reported.
  • These patients experienced progressive deterioration necessitating alternative treatment strategies.

Findings:

  • Successful endovascular clot removal using suction thrombectomy was performed in both cases.
  • Immediate sinus recanalization and rapid radiographic improvement were observed post-procedure.

Implications:

  • Endovascular suction thrombectomy presents a potentially effective and safe therapeutic option for severe CVST.
  • Further research is required to confirm the efficacy and establish the role of this intervention in CVST management.

Keywords:
AnticoagulationCerebral venous sinus thrombosisEndovascularOutcomeThrombectomyThrombolysis

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