Mechanical Thrombolysis for Treatment of Acute Sinus Thrombosis —Case Report—

Shiro YAMASHITA; Yoshihito MATSUMOTO; Takashi TAMIYA; Masahiko KAWANISHI; Atsushi SHINDO; Takehiro NAKAMURA; Daisuke OGAWA; Yasuhiro KURODA; Seigo NAGAO

doi:10.2176/nmc.45.635

Case Reports

Mechanical Thrombolysis for Treatment of Acute Sinus Thrombosis

—Case Report—

Shiro YAMASHITA, Yoshihito MATSUMOTO, Takashi TAMIYA, Masahiko KAWANISHI, Atsushi SHINDO, Takehiro NAKAMURA, Daisuke OGAWA, Yasuhiro KURODA, Seigo NAGAO

Author information

Shiro YAMASHITA
Department of Neurological Surgery, Kagawa University School of Medicine
Yoshihito MATSUMOTO
Department of Neurological Surgery, Kagawa University School of Medicine
Takashi TAMIYA
Department of Neurological Surgery, Kagawa University School of Medicine
Masahiko KAWANISHI
Department of Neurological Surgery, Kagawa University School of Medicine
Atsushi SHINDO
Department of Neurological Surgery, Kagawa University School of Medicine
Takehiro NAKAMURA
Department of Neurological Surgery, Kagawa University School of Medicine
Daisuke OGAWA
Department of Neurological Surgery, Kagawa University School of Medicine
Yasuhiro KURODA
Department of Anesthesiology and Emergency Medicine, Kagawa University School of Medicine
Seigo NAGAO
Department of Neurological Surgery, Kagawa University School of Medicine

Keywords: acute sinus thrombosis, mechanical thrombolysis, balloon catheter

JOURNAL OPEN ACCESS

2005 Volume 45 Issue 12 Pages 635-639

DOI https://doi.org/10.2176/nmc.45.635

Details

Abstract

A 55-year-old woman presented with consciousness disorders. Computed tomography revealed hemorrhage in the left temporoparietal region. The angiographic diagnosis was progressive sinus thrombosis from the superior sagittal sinus to the bilateral transverse sinuses. Her condition deteriorated despite heparin administration. Therefore, mechanical thrombolysis was performed for sinus thrombosis using a balloon catheter, in addition to supportive thrombolytic therapy with urokinase, resulting in sinus patency. Mechanical thrombolysis is an effective therapeutic modality for sinus thrombosis refractory to heparin administration.

Corresponding author

Register with J-STAGE for free!