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支架取栓器与抽吸血栓切除术联合治疗累及直窦的脑静脉窦血栓形成:一例报告

Combined use of stent-retriever and aspiration thrombectomy for cerebral venous sinus thrombosis involving the straight sinus: A case report.

作者信息

Taniguchi Syunsuke, Harada Kei, Kajihara Masahito, Fukuyama Kozo

机构信息

Department of Neurosurgery, Fukuoka Wajiro Hospital, Fukuoka, Japan.

出版信息

Interv Neuroradiol. 2017 Dec;23(6):605-608. doi: 10.1177/1591019917730335. Epub 2017 Sep 24.

Abstract

Cerebral venous sinus thrombosis (CVST) is generally treated with anticoagulation therapy, however, endovascular therapy is considered for refractory cases. A 42-year-old woman presented with a progressive disturbance in consciousness, and diagnosed CVST in the straight sinus (SS). Recanalization of SS was achieved by emergent thrombectomy using aspiration catheter and stent-retriever system, and her level of consciousness improved immediately. The combined use of them aided the removal of the thrombus located in the SS.

摘要

大脑静脉窦血栓形成(CVST)通常采用抗凝治疗,然而,对于难治性病例则考虑采用血管内治疗。一名42岁女性出现进行性意识障碍,被诊断为直窦(SS)的CVST。通过使用抽吸导管和支架取栓系统进行紧急取栓实现了SS再通,她的意识水平立即得到改善。两者联合使用有助于清除位于SS的血栓。

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