Successful Endovascular Management of Massive Pansinus Thrombosis: Case Report and Review of Literature

被引：4

作者：

Drofa, Alexander ^{[1
,2
]}

Kouznetsov, Evgueni ^{[2
]}

Tomek, Stephen ^{[5
]}

Wiisanen, Matthew ^{[4
]}

Manchak, Michael ^{[3
]}

Lindley, Timothy ^{[2
]}

Mitchell, Steven ^{[6
]}

Hui, Ferdinand ^{[7
]}

Breker, Dane ^{[3
]}

机构：

[1] Univ North Dakota, Dept Surg, Grand Forks, ND 58201 USA

[2] Sanford Brain & Spine Inst, Dept Neurosurg, Fargo, ND USA

[3] Sanford Hlth, Dept Neurol, Sioux Falls, ND USA

[4] Sanford Hlth, Dept Cardiol, Sioux Falls, ND USA

[5] Sanford Hlth, Dept Pediat, Sioux Falls, ND USA

[6] Sanford Hlth, Dept Radiol, Sioux Falls, ND USA

[7] Johns Hopkins Univ, Dept Radiol, Baltimore, MD USA

来源：

PEDIATRIC NEUROSURGERY | 2016年 / 51卷 / 06期

关键词：

Technique; Thrombectomy; Thrombolysis; Newborn; Sinus thrombosis; Abciximab; Tissue plasminogen activator; Endovascular thrombolysis; CEREBRAL VENOUS THROMBOSIS; SINUS THROMBOSIS; THROMBOLYSIS;

D O I：

10.1159/000447411

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Cerebral sinus venous thrombosis (CSVT) is a recognized cause of childhood and neonatal stroke. More than 50% of neonates have a poor outcome, and mortality is high. Coma is a predictor of death in neonatal CSVT. We present the case of a 9-day-old infant, who presented in coma and was treated successfully with a combination of mechanical thrombectomy using the MindFrame System via the right jugular vein, local infusion of recombinant tissue plasminogen activator and abciximab, as well as anticoagulation. In this case, aggressive thrombectomy and thrombolysis achieved complete neurologic restoration safely and quickly. (C) 2016 S. Karger AG, Basel

引用

页码：318 / 324

页数：7

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