title: Endovascular treatment of cerebral venous sinus thrombosis (CVST): Is a complete recanalization required for a good clinical outcome?
abstract: The usual therapy in cerebral venous sinus thrombosis (CVST) is based on anticoagulant treatment with adjusted-dose unfractionated heparin. When medical treatment fails, endovascular techniques, such as mechanical thrombectomy, are available. We report a case of a 21-year-old woman with a diagnosis of left CVST, treated by a neurointerventional approach with mechanical thrombectomy using the Penumbra(®) System. Despite the fact that only incomplete recanalization was achieved, a gradual resolution of the thrombus and a progressive clinical improvement occurred.
authors.affiliation: Stroke Unit, Neurology Department, Hospital General Universitario Gregorio-Marañón, Madrid, Spain. Electronic address: alozanoros87@gmail.com.
authors.forename: A
authors.initials: A
authors.lastname: Lozano-Ros
authors.affiliation: Stroke Unit, Neurology Department, Hospital General Universitario Gregorio-Marañón, Madrid, Spain.
authors.forename: E
authors.initials: E
authors.lastname: Luque-Buzo
authors.affiliation: Stroke Unit, Neurology Department, Hospital General Universitario Gregorio-Marañón, Madrid, Spain.
authors.forename: A
authors.initials: A
authors.lastname: García-Pastor
authors.affiliation: Neuroradiology Section, Radiodiagnostic Department, Hospital General Universitario Gregorio-Marañón, Madrid, Spain.
authors.forename: E
authors.initials: E
authors.lastname: Castro-Reyes
authors.affiliation: Stroke Unit, Neurology Department, Hospital General Universitario Gregorio-Marañón, Madrid, Spain.
authors.forename: F
authors.initials: F
authors.lastname: Díaz-Otero
authors.affiliation: Stroke Unit, Neurology Department, Hospital General Universitario Gregorio-Marañón, Madrid, Spain.
authors.forename: P
authors.initials: P
authors.lastname: Vázquez-Alen
authors.affiliation: Stroke Unit, Neurology Department, Hospital General Universitario Gregorio-Marañón, Madrid, Spain.
authors.forename: Y
authors.initials: Y
authors.lastname: Fernández-Bullido
authors.affiliation: Stroke Unit, Neurology Department, Hospital General Universitario Gregorio-Marañón, Madrid, Spain.
authors.forename: J A
authors.initials: JA
authors.lastname: Villanueva-Osorio
authors.affiliation: Stroke Unit, Neurology Department, Hospital General Universitario Gregorio-Marañón, Madrid, Spain.
authors.forename: A
authors.initials: A
authors.lastname: Gil-Núñez
mesh_terms: D000328:Adult; D000925:Anticoagulants / Q000627:therapeutic use; D001921:Brain / Q000000981:diagnostic imaging / Q000473:pathology; D057510:Endovascular Procedures / Q000295:instrumentation*; D005260:Female; D006493:Heparin / Q000627:therapeutic use; D006801:Humans; D012851:Sinus Thrombosis, Intracranial / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000473:pathology / Q000601:surgery*; D017131:Thrombectomy / Q000295:instrumentation*; D016896:Treatment Outcome; D055815:Young Adult
chemical_list: D000925:Anticoagulants; D006493:Heparin
keywords: Sinus; Thrombectomy; Thrombosis