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Endovascular treatment of cerebral venous thrombosis: Contemporary multicenter experience
Journal article   Open access   Peer reviewed

Endovascular treatment of cerebral venous thrombosis: Contemporary multicenter experience

Maxim Mokin, Demetrius K. Lopes, Mandy J. Binning, Erol Veznedaroglu, Kenneth M. Liebman, Adam S. Arthur, Vinodh T. Doss, Elad I. Levy and Adnan H. Siddiqui
Interventional neuroradiology, v 21(4), pp 520-526
01 Aug 2015
PMID: 26055685
url
https://europepmc.org/articles/pmc4757317View
Published, Version of Record (VoR)Open Access (License Unspecified) Open

Abstract

Clinical Neurology Life Sciences & Biomedicine Neurosciences & Neurology Radiology, Nuclear Medicine & Medical Imaging Science & Technology
Endovascular therapy of cerebral venous thrombosis using modern approaches to intracranial recanalization, such as stent retrievers and aspiration thrombectomy, is not well described. We performed a retrospective review of data for consecutive patients with venous sinus thrombosis who underwent endovascular treatment between 1 January 2010 and 31 December 2013 at participating institutions. We identified a total of 13 patients with a diagnosis of cerebral venous thrombosis. The most frequently utilized type of endovascular intervention was the Penumbra aspiration system (Penumbra Inc., Alameda, California, USA) (nine cases), followed by local infusion of tissue plasminogen activator (bolus and/or drip in six cases) and stent retrievers (Solitaire FR (Covidien, Irvine, California, USA) in three cases and Trevo (Stryker, Kalamazoo, Michigan, USA) in one case). Overall, multimodality treatment (two or more different types of devices or approaches) was performed in 62% of cases. Follow-up data were available for 11 patients; of those, five had a favorable clinical outcome (defined as modified Rankin Scale score of 0-2) and three patients died. Various endovascular approaches are utilized in current clinical practice. A multimodal approach to endovascular therapy for the treatment of cerebral venous thrombosis resulted in partial or complete restoration of flow in all cases, yet the mortality rate of 27% indicates the need for improvement in recanalization strategies for this disorder.

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Collaboration types
Domestic collaboration
Web of Science research areas
Clinical Neurology
Radiology, Nuclear Medicine & Medical Imaging
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