Rapid thrombectomy of superior sagittal sinus and transverse sinus thrombosis with a rheolytic catheter device.
Thrombosis of the dural venous sinuses is a potentially lethal condition that remains a diagnostic dilemma. Clinical outcome is typically dependent on the timeliness of diagnosis and definitive treatment. We report a case of successful rapid thrombectomy of extensive thrombus within the superior sagittal and transverse sinuses using a rheolytic catheter device. This appears to be a promising treatment option, particularly in those patients who do not respond to other, more established, forms of therapy.
Opatowsky
M J
MJ
Department of Radiology, Wake Forest University School of Medicine, Winston-Salem, NC 27106, USA.
Morris
P P
PP
Regan
J D
JD
Mewborne
J D
JD
Wilson
J A
JA
D000208:Acute Disease; D000328:Adult; D002404:Catheterization / Q000295:instrumentation; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D010960:Plasminogen Activators / Q000008:administration & dosage / Q000627:therapeutic use; D012212:Rheology / Q000295:instrumentation; D012851:Sinus Thrombosis, Intracranial / Q000601:surgery*; D017131:Thrombectomy / Q000295:instrumentation*; D013997:Time Factors; D016896:Treatment Outcome; D014568:Urokinase-Type Plasminogen Activator / Q000008:administration & dosage / Q000627:therapeutic use
D010960:Plasminogen Activators; D014568:Urokinase-Type Plasminogen Activator