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Endovascular Thrombectomy for Cerebral Venous Thrombosis: Current Status and Future Directions

Andrea M Kuczynski1, Giorgio Busto1, Antonio Ciacciarelli2

  • 1Cumming School of Medicine, Department of NeurologyUniversity of CalgaryCalgary, AlbertaCanada.

Seminars in Interventional Radiology
|August 13, 2026
PubMed

Insights

Cerebral venous thrombosis (CVT) is a rare stroke cause. This review explores endovascular therapy (EVT) for CVT, discussing its risks, benefits, and predictive clinical/imaging features for patient outcomes.

Area of Science:

  • Neurology
  • Vascular Medicine

Background:

  • Cerebral venous thrombosis (CVT) is an uncommon cause of stroke with significant morbidity and mortality.
  • Current management primarily involves anticoagulation, but its efficacy can be limited.

Purpose of the Study:

  • To review the risks and benefits of endovascular therapy (EVT) for CVT.
  • To identify clinical and neuroimaging factors that predict outcomes following EVT in CVT patients.

Main Methods:

  • Literature review of existing case reports and uncontrolled studies on EVT for CVT.
  • Analysis of pre- and postprocedural clinical and imaging features associated with EVT outcomes.
  • Inclusion of illustrative case examples to support findings.

Main Results:

  • EVT for CVT, including thrombolysis and mechanical thrombectomy, has shown variable results.
  • Certain clinical and imaging characteristics may influence prognosis and response to EVT.
  • Evidence for EVT in CVT is still evolving and based on limited studies.

Conclusions:

  • EVT is a potential treatment for CVT but carries risks and its effectiveness is debated.
  • Understanding predictive factors is crucial for optimizing patient selection and management.
  • Further research is needed to establish clear guidelines for EVT in CVT.

Keywords:
cerebral venous thrombosiscerebrovascular disordersendovascular treatmentinterventional neuroradiologysinus thrombosis

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