Suction thrombectomy after balloon maceration for dural venous sinus thrombosis
Journal
Journal of the Neurological Sciences
Journal Volume
365
Pages
76-81
Date Issued
2016
Author(s)
Abstract
Purpose To introduce the combination of suction thrombectomy (ST) and balloon maceration (BM) for the management of dural venous sinus thrombosis (DVST). Materials and methods Ten consecutive patients (average age, 53 ± 15 years; range, 30 to 73 years) with DVST treated by ST after BM were evaluated including location of DVST, imaging presentation, procedural findings, and 3-month modified Rankin scale (mRS). Results All 10 patients had evidence of venous infarct on MR or CT. In addition, seven patients had intracerebral hemorrhage (ICH), one had subarachnoid hemorrhage (SAH), and one had both ICH and SAH. More than one sinus was involved in nine patients. ST after BM was technically successful in all patients, and angiographic relief of venous congestion and good outcome (3-month mRS 0 or 1) was achieved in eight patients (80%). The average procedural time was 73.5 ± 24.7 min. Two patients who were in coma status had negative outcomes, and one had a known chronic thrombotic segment refractory to treatment. No recurrent thrombosis of recanalized sinus was found on follow-up MR venography in six patients and CT venography in two patients. Conclusion BM followed by ST is a promising technique for the treatment of acute DVST. ? 2016 Elsevier B.V. All rights reserved.
SDGs
Other Subjects
adult; aged; angiography; Article; balloon maceration; brain hemorrhage; brain infarction; chronic disease; clinical article; coma; computer assisted tomography; cranial sinus; dural venous sinus thrombosis; female; follow up; human; male; middle aged; nuclear magnetic resonance imaging; occlusive cerebrovascular disease; phlebography; priority journal; Rankin scale; recanalization; subarachnoid hemorrhage; suction; suction thrombectomy; surgical technique; thrombectomy; treatment outcome; venous congestion; brain; brain angiography; Cerebral Hemorrhage; complication; diagnostic imaging; neurosurgery; pathology; procedures; retrospective study; severity of illness index; Sinus Thrombosis, Intracranial; subarachnoid hemorrhage; suction; thrombectomy; x-ray computed tomography; Adult; Aged; Brain; Cerebral Angiography; Cerebral Hemorrhage; Female; Humans; Magnetic Resonance Imaging; Male; Middle Aged; Neurosurgical Procedures; Phlebography; Retrospective Studies; Severity of Illness Index; Sinus Thrombosis, Intracranial; Subarachnoid Hemorrhage; Suction; Thrombectomy; Tomography, X-Ray Computed; Treatment Outcome
Type
journal article