Endovascular treatment of cerebral venous thrombosis.
https://doi.org/10.30629/2658-7947-2021-26-5-24-29
Abstract
The article describes a clinical case of cerebral venous thrombosis involving the deep venous system in a 42-year-old patient suffering from acute lymphoblastic leukemia. As the patient’s condition progressively deteriorated despite anticoagulant therapy, endovascular treatment was attempted. Transvenous thrombectomy and local thrombolysis were performed, which made it possible to achieve only partial recanalization. Further prolonged administration of alteplase into the cerebral sinus through a microcatheter facilitated complete recanalization of the direct and transverse sinuses. The restoration of blood flow was accompanied by regression of neurological deficit. This case is discussed in the context of modern approaches to endovascular treatment of cerebral venous thrombosis.
About the Authors
A. A. Kulesh
Perm State Medical University named after Academician E.A. Wagner;
City Clinical Hospital №4
Russian Federation
Russian Federation
Perm
A. O. Karakulov
Perm State Medical University named after Academician E.A. Wagner
Russian Federation
Russian Federation
Perm
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Review
For citations:
Kulesh A.A., Karakulov A.O. Endovascular treatment of cerebral venous thrombosis. Russian neurological journal. 2021;26(5):24-29. (In Russ.) https://doi.org/10.30629/2658-7947-2021-26-5-24-29
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