title: Endovascular management of cerebral venous sinus thrombosis.
abstract: Cerebral venous sinus thrombosis (CVST) is characterized by formation of widespread thrombus within the cerebral venous sinus system. CVST can cause venous hypertension, venous infarcts, hemorrhage and seizures. It is managed in most cases with systemic anticoagulation through the use of heparin to resolve the thrombus. Patients that demonstrate clinical deterioration while on heparin are often treated with endovascular strategies to recanalize the sinuses. We present the case of a patient with widespread CVST, involving his superior sagittal sinuses and bilateral transverse sigmoid sinuses, who was treated with a combination of endovascular therapies. The video can be found here: http://youtu.be/w3wAGlT7h8c .
authors.affiliation: Department of Neurosurgery & Interventional Neuroradiology, Stanford University Medical Centre, Stanford, California.
authors.forename: Omar
authors.initials: O
authors.lastname: Choudhri
authors.forename: Abdullah
authors.initials: A
authors.lastname: Feroze
authors.forename: Michael P
authors.initials: MP
authors.lastname: Marks
authors.forename: Huy M
authors.initials: HM
authors.lastname: Do
mesh_terms: D003392:Cranial Sinuses / Q000187:drug effects / Q000601:surgery*; D057510:Endovascular Procedures / Q000379:methods*; D005343:Fibrinolytic Agents / Q000627:therapeutic use; D006493:Heparin / Q000627:therapeutic use; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D012851:Sinus Thrombosis, Intracranial / Q000473:pathology / Q000601:surgery*
chemical_list: D005343:Fibrinolytic Agents; D006493:Heparin
keywords: balloon embolectomy; endovascular; mechanical thrombectomy; suction thrombectomy; venous sinus thrombosis; video