Papadimitriou Kyriakos, Mehta Shyle H, Golub Danielle, White Timothy, Shah Kevin, Patsalides Athos
Department of Neurosurgery, Northwell Health, Manhasset, NY, USA.
Interv Neuroradiol. 2024 Mar 7:15910199241238277. doi: 10.1177/15910199241238277.
Cerebral venous sinus thrombosis comprises 0.5% of all strokes and usually affects young adults. Straight sinus involvement is relatively rare, and it is associated with poor prognosis. Intravenous anticoagulation is considered the first line of treatment. Endovascular approaches such as direct catheter thrombolysis, balloon-assisted thrombolysis, and mechanical thrombectomy may be more efficient and should be considered in cases in which there is involvement of the deep venous system, declining neurological status, or less invasive treatment options have failed. In this work, we describe a novel technique of ECLIPSE 2L balloon (Balt, Irvine, CA) assisted mechanical thrombectomy for straight sinus thrombosis and a review of dural sinus thrombosis management.
脑静脉窦血栓形成占所有中风的0.5%,通常影响年轻人。直窦受累相对罕见,且与预后不良相关。静脉抗凝被认为是一线治疗方法。血管内治疗方法,如直接导管溶栓、球囊辅助溶栓和机械取栓可能更有效,对于深部静脉系统受累、神经功能状态恶化或侵入性较小的治疗选择失败的病例应考虑采用。在这项工作中,我们描述了一种用于直窦血栓形成的新型ECLIPSE 2L球囊(巴尔的摩,加利福尼亚州欧文市)辅助机械取栓技术,并对硬脑膜窦血栓形成的管理进行综述。