Endovascular treatment of cerebral venous sinus thrombosis (CVST): Is a complete recanalization required for a good clinical outcome?

J Neuroradiol. 2016 Feb;43(1):51-4. doi: 10.1016/j.neurad.2015.09.001. Epub 2015 Oct 27.

Abstract

The usual therapy in cerebral venous sinus thrombosis (CVST) is based on anticoagulant treatment with adjusted-dose unfractionated heparin. When medical treatment fails, endovascular techniques, such as mechanical thrombectomy, are available. We report a case of a 21-year-old woman with a diagnosis of left CVST, treated by a neurointerventional approach with mechanical thrombectomy using the Penumbra(®) System. Despite the fact that only incomplete recanalization was achieved, a gradual resolution of the thrombus and a progressive clinical improvement occurred.

Keywords: Sinus; Thrombectomy; Thrombosis.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Anticoagulants / therapeutic use
  • Brain / diagnostic imaging
  • Brain / pathology
  • Endovascular Procedures / instrumentation*
  • Female
  • Heparin / therapeutic use
  • Humans
  • Sinus Thrombosis, Intracranial / diagnostic imaging
  • Sinus Thrombosis, Intracranial / drug therapy
  • Sinus Thrombosis, Intracranial / pathology
  • Sinus Thrombosis, Intracranial / surgery*
  • Thrombectomy / instrumentation*
  • Treatment Outcome
  • Young Adult

Substances

  • Anticoagulants
  • Heparin