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

@article{Li2018EfficacyOS,
  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},
  year={2018},
  volume={11},
  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… 

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TLDR
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TLDR
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TLDR
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References

SHOWING 1-10 OF 30 REFERENCES

Current Status of the Application of Intracranial Venous Sinus Stenting

TLDR
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

TLDR
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

TLDR
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.

TLDR
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

TLDR
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
TLDR
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

TLDR
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

TLDR
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.

TLDR
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

TLDR
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.