Treatment of Cerebral Venous Thrombosis with Clinical or Imaging Progression
When cerebral venous thrombosis worsens — with thrombus propagation on imaging or clinical deterioration — or when standard therapy has failed or is contraindicated, a more targeted interventional approach becomes the focus of management.
This protocol addresses patients with cerebral venous thrombosis who show evidence of progression (thrombus propagation), are experiencing clinical deterioration, or in whom conventional treatment has not achieved adequate control.
Management in this setting involves a catheter-based endovascular intervention directed at the occluded sinus. The full protocol specifies which approach applies, under what conditions, and how it is sequenced.
Complete indications, procedural selection criteria, and the full decision algorithm are available via the link below.
References
DOI: 10.1161/STR.0000000000000456
Clinical/Imaging with Progression (ie, thrombus propagation) Consider endovascular therapy (intrasinus thrombolysis or endovascular thrombectomy).
Currently, EVT is used as a rescue treatment for patients who are experiencing clinical deterioration or failed or have contraindications to standard therapy.
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