Efficacy of stenting in patients with cerebral venous sinus thrombosis-related cerebral venous sinus stenosis

  title={Efficacy of stenting in patients with cerebral venous sinus thrombosis-related cerebral venous sinus stenosis},
  author={Ke Li and Ming Ren and Ran Meng and Yuchuan Ding and Gary B. Rajah and Feng Wang and Xunming Ji},
  journal={Journal of NeuroInterventional Surgery},
  pages={307 - 312}
  • Ke Li, M. Ren, X. Ji
  • Published 2 November 2018
  • Medicine
  • Journal of NeuroInterventional Surgery
Background Venous stenting has been proven to be a safe and effective therapeutic option for patients with idiopathic intracranial hypertension (IIH) and cerebral venous sinus stenosis (CVSS). However, its use in patients with cerebral venous sinus thrombosis-related CVSS has been less reported. Purpose To explore the safety and efficacy of stenting for patients with cerebral venous sinus thrombosis (CVST)-related CVSS. Methods The clinical presentation, treatment, and outcome of patients with… 

Long-term Outcomes of Cerebral Venous Sinus Stenosis Corrected by Stenting.

The data suggest that patients with CVSS may get long-term benefit from stenting, especially when they are accompanied with severe IH, and stenting may be a promising therapy for CVSS correcting.

Perioperative mannitol intensive use may avoid the early complication of cerebral venous sinus stenting

A transiently strict preoperative ICP control by mannitol may inhibit CVS stenting-related hemorrhage, which makes the stenting safer and more effective on correcting the CVS stenosis.

Stenting of symptomatic lateral sinus thrombosis refractory to mechanical thrombectomy

  • G. LuJae Ho ShinYunsun SongD. Lee
  • Medicine
    Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences
  • 2019
Stenting for the thrombotic occlusion of the lateral sinus is a feasible rescue method to overcome unsuccessful endovascular mechanicalThrombectomy, however, currently available stenting systems may be unsuitable for use in the intracranial dural sinus system.

The comparative analysis of non-thrombotic internal jugular vein stenosis and cerebral venous sinus stenosis

The similarities of the two subsets of cerebral venous outflow insufficiency mainly included headache, head noises or tinnitus, visual disorders, and sleeping disorders, as well as cloud-like white matter hyperintensity in T2WI and FLAIR sequences of MRI.

Safety and efficacy comparison between OACs plus single antiplatelet and dual antiplatelet therapy in patients with cerebral venous sinus stenosis poststenting

OACs plus single anti Platelet therapy and dual antiplatelet therapy alone are both safe and efficacious management strategies after CVSS stent placement, and the former may have more advantages than the latter for inhibiting intrastent thrombosis.

Men Are from Mars, Idiopathic Intracranial Hypertension Is from Venous: The Role of Venous Sinus Stenosis and Stenting in Idiopathic Intracranial Hypertension.

Dural venous sinus stenosis at the junction of the transverse and sigmoid sinuses, leading to local venous hypertension and a secondary reduction in CSF drainage through the arachnoid granulations, is increasingly recognized as an important component of the pathophysiology of IIH.

Thrombectomy in the Venous System: Approaches and Techniques

This chapter provides a comprehensive discussion of the feasible approaches and techniques for endovascular management of CVST and aims to provide some technical tips for the successful endov vascular treatment of this disease.

Clinical and neuroimaging correlates among cohorts of cerebral arteriostenosis, venostenosis and arterio-venous stenosis

The clinical characteristics and neuroimaging presentations were different among patients with CAS, CVS and CAVS, and both arterial and venous imaging should be considered in diagnosis of cerebral stenotic vascular disorders.

Noninvasive Monitoring and Neurointerventional Management of Idiopathic Intracranial Hypertension

While ONSF and VP/LP shunting exhibit utility primarily for the treatment of vision loss and headache, respectively, venous sinus stenting may prove to be an effective option in the management of all symptoms of IIH.



Current Status of the Application of Intracranial Venous Sinus Stenting

The present study suggests that selective stent release in the venous sinus can effectively treat these diseases and provide new possibilities for treating intracranial vascular disease.

Endovascular Treatment of Venous Sinus Stenosis in Idiopathic Intracranial Hypertension: Complications, Neurological Outcomes, and Radiographic Results

In IIH patients with venous sinus stenosis and a physiologic pressure gradient, venous stenting appears to be a safe and effective therapeutic option.

Venous sinus stenting for idiopathic intracranial hypertension: a review of the literature

In patients with focal venous sinus stenosis, endovascular stent placement across the stenotic sinus region represents an effective treatment strategy with a high technical success rate and decreased rate of complications compared with treatment modalities currently used.

Safety and validity of mechanical thrombectomy and thrombolysis on severe cerebral venous sinus thrombosis.

Thrombectomy combined with thrombolysis is a safe and valid treatment modality to use in severe CVST cases or in intractable patients that have shown no adequate response to antithrombotic drugs.

Endovascular mechanical thrombectomy for cerebral venous sinus thrombosis: a systematic review

EMT is an effective salvage therapy for refractory CVST, with a reasonable safety profile, and trends in the outcomes of EMT for CVST are established.

Stenting for acute cerebral venous sinus thrombosis in the superior sagittal sinus

  • H. AdachiY. Mineharu N. Sakai
  • Medicine
    Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences
  • 2015
Placement of intracranial stents, which can easily gain access to the distal part of the SSS as compared with carotidStents, may be a useful treatment option for the acute sinus thrombosis in this region.

Cerebral Venous Sinus Thrombosis and Stenosis in Pseudotumor Cerebri Syndrome

Cerebral venous sinus thrombosis (CVST) can occur with tumor infiltration and also in isolation, and CVST should be considered in all patients presenting with signs and symptoms of elevated ICP, especially when the onset of symptoms is quite rapid.

Meta-Analysis of CSF Diversion Procedures and Dural Venous Sinus Stenting in the Setting of Medically Refractory Idiopathic Intracranial Hypertension

The largest meta-analysis of optic nerve sheath fenestration, CSF shunting, and dural venous sinus stenting is presented, the only article that compares these procedures, to the authors' knowledge.

Anticoagulation for cerebral venous sinus thrombosis.

Anticoagulant treatment for cerebral venous sinus thrombosis appeared to be safe and was associated with a potentially important reduction in the risk of death or dependency which did not reach statistical significance.

Republished: Development of an Intracranial Dural Arteriovenous Fistula after Venous Sinus Stenting for Idiopathic Intracranial Hypertension

Neurointerventionalists should be aware of this potential, although rare complication of DAVF formation after VSS, which may cause new arterial ingrowth into the fistulous sinus wall without capillary interposition.