TY - JOUR
T1 - Endovascular treatment for cerebral venous thrombosis
T2 - current status, challenges, and opportunities
AU - Goyal, Mayank
AU - Fladt, Joachim
AU - Coutinho, J. M.
AU - McDonough, Rosalie
AU - Ospel, Johanna
N1 - Publisher Copyright: © Author(s) (or their employer(s)) 2022. No commercial re-use. See rights and permissions. Published by BMJ.
PY - 2022/8/1
Y1 - 2022/8/1
N2 - Cerebral venous thrombosis (CVT) mostly affects young people. So far, endovascular treatment (EVT) has not been shown to be beneficial in CVT, partially because venous EVT tools are not yet fully optimized, and therefore EVT is only used as a rescue treatment in rare cases. Identifying a subgroup of CVT patients that could benefit from EVT is challenging, given the milder course of disease compared with acute ischemic stroke, the paucity of data on prognostic factors (both in the clinical and imaging domain), and the lack of consensus on what constitutes 'technical success' in CVT EVT. In this review, we discuss the major obstacles that are encountered when trying to identify CVT patients that may benefit from EVT, and propose a roadmap that could help to overcome these challenges in the near future.
AB - Cerebral venous thrombosis (CVT) mostly affects young people. So far, endovascular treatment (EVT) has not been shown to be beneficial in CVT, partially because venous EVT tools are not yet fully optimized, and therefore EVT is only used as a rescue treatment in rare cases. Identifying a subgroup of CVT patients that could benefit from EVT is challenging, given the milder course of disease compared with acute ischemic stroke, the paucity of data on prognostic factors (both in the clinical and imaging domain), and the lack of consensus on what constitutes 'technical success' in CVT EVT. In this review, we discuss the major obstacles that are encountered when trying to identify CVT patients that may benefit from EVT, and propose a roadmap that could help to overcome these challenges in the near future.
KW - device
KW - stroke
KW - thrombectomy
KW - thrombolysis
KW - vein
UR - http://www.scopus.com/inward/record.url?scp=85127315622&partnerID=8YFLogxK
U2 - https://doi.org/10.1136/neurintsurg-2021-018101
DO - https://doi.org/10.1136/neurintsurg-2021-018101
M3 - Review article
C2 - 35022302
SN - 1759-8478
VL - 14
SP - 788
EP - 793
JO - Journal of NeuroInterventional Surgery
JF - Journal of NeuroInterventional Surgery
IS - 8
M1 - neurintsurg-2021-018101
ER -