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Rheolytic Catheter Thrombectomy, Balloon Angioplasty, and Direct Recombinant Tissue Plasminogen Activator Thrombolysis of Dural Sinus Thrombosis with Preexisting Hemorrhagic Infarctions
AJNR 25:1807-1811, Curtin,K.R.,et al, 2004
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Article Abstract
We describe the case of a 28-year-old obtunded woman who presented with bilateral anterior parietal lobe cortical hemorrhages associated with thrombosis of the superior sagittal sinus, both transverse and sigmoid sinuses, and multiple cortical veins draining into the sagittal sinus. Initial heparin therapy was not effective. A combination of AngioJet rheolytic catheter thrombectomy, balloon angioplasty, and continuous direct superior sagittal sinus recombinant tissue plasminogen activator infusion led to venous recanalization with a successful clinical outcome, without worsening of the preexisting intracranial hemorrhages.
 
Related Tags
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cerebral infarction,hemorrhagic
cerebral venous infarction
cerebral venous thrombosis
cerebrovascular accident,thrombolytic agents in treatment
dural sinus thrombosis
endovascular therapy
fibrinolytic agents
fibrinolytic agents,intra-venous local infusion
thrombectomy
tissue plasminogen activator,intravenous
transluminal angioplasty,intracranial
transluminal angioplasty,intracranial-indications for
treatment of neurologic disorder

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