Mechanical Thrombectomy as an Initial Treatment for Sinus Thrombosis

JNET Pub Date : 2019-01-01 DOI:10.5797/jnet.cr.2019-0065
Yusuke Takahashi, Y. Suda, A. Saito, Ryosei Wakasa
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引用次数: 1

Abstract

Objective: Sinus thrombosis often deteriorates despite anticoagulation therapy. Early endovascular therapy may lead to a better outcome in such cases. We report a case of sinus thrombosis treated by mechanical thrombectomy as an initial treatment. Case Presentation: A 45-year-old female presented with headache and tonic seizure affecting the right arm. Computed tomography revealed subcortical hemorrhage at the right superior frontal gyrus. Occlusion of the superior sagittal sinus (SSS) was found on CTA and we diagnosed sinus thrombosis. Digital subtraction angiography demonstrated complete occlusion of the SSS and venous congestion at the middle third of the SSS. Immediately after diagnosis, we performed mechanical thrombectomy as an initial treatment. Partial recanalization was achieved after mechanical thrombectomy. Postoperative anticoagulation therapy was continued, and her symptom was improved. Conclusion: Mechanical thrombectomy as an initial treatment for sinus thrombosis may be a useful treatment option when aggravation of the symptoms is predicted.
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机械取栓作为窦性血栓形成的初始治疗
目的:窦性血栓虽经抗凝治疗,但仍常恶化。在这种情况下,早期血管内治疗可能会导致更好的结果。我们报告一个病例窦血栓治疗机械血栓切除术作为初始治疗。病例介绍:45岁女性,表现为右臂头痛和强直性癫痫发作。计算机断层扫描显示右侧额上回皮质下出血。在CTA上发现上矢状窦(SSS)闭塞,我们诊断为窦血栓形成。数字减影血管造影显示SSS完全闭塞,SSS中间三分之一处静脉充血。诊断后,我们立即进行机械取栓作为初始治疗。机械取栓后部分再通。术后继续抗凝治疗,患者症状得到改善。结论:机械取栓作为鼻窦血栓形成的初始治疗,在预测鼻窦血栓症状加重时可能是一种有效的治疗选择。
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来源期刊
自引率
0.00%
发文量
38
审稿时长
17 weeks
期刊介绍: JNET Journal of Neuroendovascular Therapy is the official journal of the Japanese Society for Neuroendovascular Therapy (JSNET). The JNET publishes peer-reviewed original research related to neuroendovascular therapy, including clinical studies, state-of-the-art technology, education, and basic sciences.
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