Cavernous sinus thrombosis interventions
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mohamadmostafa Jahansouz M.D.[2]
Overview
Intervention
Early endovascular therapy may help preserve vision in patients in patients with acute cavernous sinus thrombosis.[1][2][3]
Combination of medical and surgical interventions may be in management of cavernous sinus thrombosis.[2][4]
Endovascular therapy of cerebral venous thrombosis using modern approaches to intracranial recanalization include:[1][2][4]
- Thrombolysis
- Thrombectomy
This interventions are not well described and there are few studies about this interventions.[3][5]
Successful recanalization of the bilateral cavernous sinuses and superior ophthalmic veins was achieved in some studies without complication.[1][2]
Contraindications
References
- ↑ 1.0 1.1 1.2 Bauer J, Kansagra K, Chao KH, Feng L (2018). "Transfemoral thrombectomy in the cavernous sinus and superior ophthalmic vein". BMJ Case Rep. 2018. doi:10.1136/bcr-2017-013571. PMID 29437716.
- ↑ 2.0 2.1 2.2 2.3 Khan SH, Adeoye O, Abruzzo TA, Shutter LA, Ringer AJ (2009). "Intracranial dural sinus thrombosis: novel use of a mechanical thrombectomy catheter and review of management strategies". Clin Med Res. 7 (4): 157–65. doi:10.3121/cmr.2009.847. PMC 2801689. PMID 20048139.
- ↑ 3.0 3.1 Mascitelli JR, Pain M, Zarzour HK, Baxter P, Ghatan S, Mocco J (2015). "Sinus thrombectomy for purulent cerebral venous sinus thrombosis utilizing a novel combination of the Trevo stent retriever and the Penumbra ACE aspiration catheter: the stent anchor with mobile aspiration technique". BMJ Case Rep. 2015. doi:10.1136/bcr-2015-011782. PMC 4442185. PMID 26002667.
- ↑ 4.0 4.1 Desa V, Green R (2012). "Cavernous sinus thrombosis: current therapy". J Oral Maxillofac Surg. 70 (9): 2085–91. doi:10.1016/j.joms.2011.09.048. PMID 22326173.
- ↑ Konakondla S, Schirmer CM, Li F, Geng X, Ding Y (2017). "New Developments in the Pathophysiology, Workup, and Diagnosis of Dural Venous Sinus Thrombosis (DVST) and a Systematic Review of Endovascular Treatments". Aging Dis. 8 (2): 136–148. doi:10.14336/AD.2016.0915. PMC 5362174. PMID 28400981.