Papers on venous sinus stenting procedures logically followed thereafter. Patient concerns: A 78-year-old woman with hypertension, hyperlipidemia, and coronary artery disease received simple PCI with stent implantation. Cerebral venous sinus thrombosis (CVST) is the presence of a blood clot in the dural venous sinuses, which drain blood from the brain.Symptoms may include headache, abnormal vision, any of the symptoms of stroke such as weakness of the face and limbs on one side of the body, and seizures. We performed a retrospective review of data for consecutive patients with venous sinus thrombosis who underwent endovascular treatment between 1 January 2010 and 31 December 2013 at participating … The study will enroll 39 IIH subjects with moderate to severe visual field loss or severe headaches that have failed medical therapy. 25 Since then, there have been 31 more cases, including the case presented here. Similarities between benign intracranial hypertension and cerebral venous sinus thrombosis are well recognised and the importance of excluding the latter—especially sagittal sinus thrombosis—is understood. We are fortunate now to have four venous-indicated stents: (in order of market release) Cook Medical’s Zilver Vena (2011); Optimed’s sinus-Venous (2012); Veniti’s Vici (2013); and most recently, Boston Scientific Corporation received CE Mark approval for the original Wallstent to have a venous indication. In many cases of SIH, an increased cerebral venous pressure raises the intracranial pressure as in dural venous fistulas, venous sinus thrombosis, or venous sinus compression. What continues to be … Several studies reported venous sinus stenting is a feasible treatment for refractory idiopathic intracranial hypertension and VSS [8,9,10,11,12].Headache, papillary edema, and visual symptoms were improved in most of the patients after stenting [13,14,15].We tried to relieve the symptoms of our patient by venous sinus stenting after … Data about 6.6.2 Headache attributed to cranial venous sinus stenting are scarce. Venous sinus stenting is a relatively new procedure and researchers are still gathering data regarding how long the procedure manages PTC and what complications may occur over time.S tenting seems to address the underlying cause of the high pressure that characterizes PTC, but the exact mechanism remains controversial. Recently, intracranial venous hypertension associated with venous sinus stenosis has been implicated as a possible mechanism for PTC.20, 21, 22 Cerebral venous sinus thrombosis represents the extreme variant of such a phenomenon and will not be discussed in this article, as its treatment is quite dissimilar (anticoagulation rather than physical relief of the obstruction). The association between sinus stenosis and IH is well-known. –Venous sinus thrombosis –Cortical vein thrombosis • Relatively rare cause of stroke (<1%) • Annual incidence estimated 3 - 7 cases per million • Comparable incidence to acute bacterial meningitis in adults • More common among young women and children Of these, stenting of the occluded sinus was performed in five patients with extensive sinus thrombosis after conventional endovascular mechanical thrombectomy. Cerebral venous thrombosis (CVT) refers to occlusion of venous channels in the cranial cavity, including dural venous thrombosis, cortical vein thrombosis and deep cerebral vein thrombosis.. When venous stenting is offered, decision-making should be based on the patient's premorbid condition, anatomical extent of disease, and likelihood of symptomatic improvement. History Mirror image stenosis on … Comments: Over the past decade, stenting of lateral sinus stenosis has been used to treat idiopathic intracranial hypertension. VSS is a type of cerebral venous vascular disease. venous sinus stenosis (CVss). Endovascular procedure may be a therapeutic option when evolution is unfavourable despite medical treatment, but the use of stenting is rarely reported in CVT treatment. Unusual‐site venous thromboembolism (VTE) refers to thrombosis occurring in venous districts outside the veins of the lower limbs and the pulmonary arteries. A 27-year-old man who presented with venous infarction accompanied by petechial hemorrhage secondary to the superior sagittal sinus (SSS) thrombosis. Furthermore, diagnostic imaging features can be subtle. Examples of atypical locations include abdominal veins (eg, splanchnic, renal, and ovarian), cerebral veins and venous dural sinuses, and the upper extremity venous system. However, its use in patients with cerebral venous sinus thrombosis-related CVSS has been less reported. The objective of the study is to show that stenting the transverse-sigmoid sinus with the River stent is safe and has probable benefit to relieve clinical symptoms in subjects with idiopathic intracranial hypertension (IIH). Cerebral venous sinus thrombosis (CVST) is a rare variant of stroke. They believed that aspiration and stent thrombectomy can effectively reconstruct the venous sinus blood flow as soon as possible, reduce the pressure in the sinus, and relieve the clinical symptoms ( 27 ). Initially several authors made the observation that there was stenosis at the junction of the transverse sinus and sagittal sinus in the majority of patients with IIH. Thrombosis of these veins is thought to be pivotal in the development of venous infarcts. At least 13% of patients … Guang-zhong et al found that the stent may injure the endothelium of vessel during the using of it and then caused new thrombosis, because there are reticular structure and arachnoid granules in the cerebral venous sinus. Purpose To explore the safety and efficacy of stenting for patients with cerebral venous sinus thrombosis (CVsT)-related CVss. This patient presents with several years of severe right-sided pulsatile tinnitus with unrecognized venous sinus stenosis, which is very easily seen on standard post-contrast T1-weighted images. However, there is a lack of evidence of the long-term good outcomes in patients with CVSS who underwent stenting. 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). The symptoms and clinical outcome are highly variable. 1 All cases involved stenting of the transverse sinus in the setting of idiopathic stenosis of the sinus. Objective: To explore the relation between venous sinus disease and IIH. 18 With the invention of newer flexible devices, risk of venous sinus rupture and other catheter-related complications might be lower, although under-reporting of these complications is likely, because most included studies were retrospective and did not include consecutive cases. reported that patients with severe cerebral venous sinus thrombosis and cerebral hemorrhage were treated with aspiration and solitaire stent thrombectomy. However, although over time venous stenting is being performed more frequently and experience with these procedures has increased, the risk of developing in‐stent thrombosis following venous stent placement remains high. Below is another case, in this instance of a patient with co-existing intracranial hypertension. They often co-exist and the clinical presentation among them is very similar and nonspecific. Three of the five patients had a variable degree of venous infarction and/or hemorrhage before treatment. Numerous questions and controversies remain regarding the diagnosis and optimal treatment of cerebral venous disease, including the role of venous stenting in idiopathic intracranial hypertension, the role of anticoagulation in cavernous sinus thrombosis, and the risks and benefits of embolization of mild indirect cavernous carotid fistulas. We present a rare case of CVT following a simple PCI procedure with stent implantation, which has not been previously reported in the literature. In such cases, venous sinus stenting can be extremely effective as a durable cure. This revealed in-stent thrombosis of the left TS with ~75% stenosis and nonocclusive thrombus within the SSS along with the confluence of sinuses. Some have suggested that all benign intracranial hypertension is caused by venous hypertension, mostly from stenoses or occlusions of the lateral sinuses. These prompted reevaluation of the dural venous sinuses by CT venography. However, its use in patients with cerebral venous sinus thrombosis-related CVss has been less reported. 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