Kowoll, Christina Maria, Lockau, Hannah, Dorn, Franziska ORCID: 0000-0001-9093-8307 and Dohmen, Christian (2017). Aggressive treatment of cerebral venous sinus thrombosis (CVT) with stent retrievers and local thrombolysis: why we need a registry. Forschritte Neurol. Psychiatr., 85 (10). S. 605 - 611. STUTTGART: GEORG THIEME VERLAG KG. ISSN 1439-3522

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Abstract

Purpose Anticoagulation is the first-line therapy for cerebral venous sinus thrombosis (CVT). Endovascular treatment is increasingly applied in patients deteriorating despite anticoagulation with extensive thrombosis or contraindications for anticoagulation. Experience with stent retrievers in CVT is limited. Results We present three cases of severe CVT treated with stent-retrievers, thrombus aspiration and local thrombolysis. In two patients with extensive thrombosis, a partial recanalization was achieved, but only one of them showed significant improvement. Despite failed recanalization, the third patient recovered completely. Conclusions Limited experience with three cases indicates that recanalization may not necessarily result in favourable clinical outcome even in severely affected patients. Therefore, invasive procedures such as local thrombolysis and thrombectomy remain individual therapeutic options when anticoagulation fails and in patients with extensive thrombosis.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Kowoll, Christina MariaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Lockau, HannahUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Dorn, FranziskaUNSPECIFIEDorcid.org/0000-0001-9093-8307UNSPECIFIED
Dohmen, ChristianUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-215428
DOI: 10.1055/s-0043-118098
Journal or Publication Title: Forschritte Neurol. Psychiatr.
Volume: 85
Number: 10
Page Range: S. 605 - 611
Date: 2017
Publisher: GEORG THIEME VERLAG KG
Place of Publication: STUTTGART
ISSN: 1439-3522
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
ENDOVASCULAR TREATMENT; SOLITAIRE FR; RECANALIZATION; THROMBECTOMYMultiple languages
Clinical Neurology; PsychiatryMultiple languages
Refereed: Yes
URI: http://kups.ub.uni-koeln.de/id/eprint/21542

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