同轴导管技术成功吸出上矢状窦血栓1例

JNET Pub Date : 2019-01-01 DOI:10.5797/JNET.TN.2018-0038

Shoko Fujii, M. Yoshimura, Shin Hirota, Juri Kiyokawa, Shinji Yamamoto

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引用次数: 0

摘要

目的:我们报告一例上矢状窦血栓形成，其中使用6fr同轴导管(CC)吸入血栓导致及时和完全的再通。病例介绍:一名69岁女性因头痛、左偏瘫被救护车送至我院。MRI显示上矢状窦血栓形成。血管内治疗在抗凝治疗的基础上进行，以防止临床恶化并实现早期改善。不幸的是，无论是静脉内化学溶栓还是机械球囊取栓都不能导致再通。因此，我们使用CC, 6 Fr Cerulean导管DD6 (Medikit co. ltd, Tokyo, Japan)作为抽吸导管，导致及时和完全的再通。因此，她的症状不久就消失了。结论:作为静脉窦血栓形成的血管内治疗，通过6fr CC吸血栓可能是一种有效的选择。

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Thrombus in the Superior Sagittal Sinus Was Successfully Aspirated by Coaxial Catheter Technique: A Technical Case Report

Objective: We report a case of superior sagittal sinus thrombosis, where aspiration of the thrombus using a 6 Fr coaxial catheter (CC) resulted in prompt and complete recanalization. Case Presentation: A 69-year-old female was brought to our hospital by ambulance due to headache and left hemiparesis. MRI images revealed superior sagittal sinus thrombosis. Endovascular treatment was performed in addition to anticoagulant therapy to prevent clinical deterioration and to achieve an early improvement. Unfortunately, neither intrasinus chemical thrombolysis nor mechanical thrombectomy with a balloon led to recanalization. Therefore, we used a CC, 6 Fr Cerulean catheter DD6 (Medikit co. ltd., Tokyo, Japan), as an aspiration catheter, which resulted in prompt and complete recanalization. Consequently, her symptoms disappeared shortly thereafter. Conclusion: As the endovascular treatment of venous sinus thrombosis, thrombus aspiration through a 6 Fr CC may be an effective option.

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来源期刊

JNET

自引率

0.00%

发文量

审稿时长

17 weeks

期刊介绍： JNET Journal of Neuroendovascular Therapy is the official journal of the Japanese Society for Neuroendovascular Therapy (JSNET). The JNET publishes peer-reviewed original research related to neuroendovascular therapy, including clinical studies, state-of-the-art technology, education, and basic sciences.