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1/2023
vol. 88 Interventional radiology
abstract:
Original paper
Endovascular management of cerebral venous thrombosis: a tertiary-centre experience
Prabakaran Palanisamy
1
,
Harshith Kramadhari
2
,
Sagar Badachi
3
,
Sharath Kumar G.G.
2
,
Balakrishna Aggipothu
1
,
Thomas Mathew
3
,
G.R.K. Sarma
3
,
Raghunandan Nadig
3
,
Sucharitha M.V.
3
,
Saikanth Reddy Deepalam
2
1.
Department of Interventional Radiology, St. Johns Medical College and Hospital, Bengaluru – 560029, Karnataka, India
2.
Department of Radiology, St. Johns Medical College and Hospital, Bengaluru – 560029, Karnataka, India
3.
Department of Neurology, St. Johns Medical College and Hospital, Bengaluru – 560029, Karnataka, India
© Pol J Radiol 2023; 88: e349-e355
Online publish date: 2023/08/07
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Background:
Stroke related to cerebral venous thrombosis (CVT) is uncommon, with untoward lethal outcomes. Systemic anticoagulation is the treatment of choice. However, some patients can be resistant to this treatment. Endovascular management with thrombolysis and mechanical thrombectomy can be a viable option in such cases. Material and methods: We retrospectively reviewed the endovascular management used for CVT in 8 patients who failed to respond to standard anticoagulation therapy between December 2017 and December 2022 in our institute. Clinical profile, imaging parameters, endovascular procedure details, and outcomes in terms of angiographic findings and clinical follow-up were analysed. Results: : In this period, a total of 8 patients underwent mechanical thrombectomy. The procedure was successful in all cases (8/8 = 100%), and 50% of them showed near total/complete recanalization; Perforation of the cortical veins was noted in 2 cases (~25%). Among the 8 patients, one died (1/8 = 12.5%) due to cardiac aetiology; the remaining 7 patients (87.5%) showed good clinical outcome with a modified Rankin Scale score 0 to 2. Conclusions: Catheter-directed thrombolysis with mechanical thromboaspiration is a safe and effective treatment for cerebral venous sinus thrombosis not responding to anticoagulation. keywords:
mechanical thrombectomy, cerebral venous thrombosis, stroke, dural venous sinus thrombosis |
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