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Case Reports
. 2021 Dec 31;14(12):e245405.
doi: 10.1136/bcr-2021-245405.

Successful endovascular mechanical thrombectomy in anticoagulation-resistant COVID-19 associated cerebral venous sinus thrombosis

Ali Sajjad  1 , Ayisha Farooq Khan  1 , Lubna Jafri  2 , Ayeesha Kamran Kamal  1
Affiliations
Case Reports

Successful endovascular mechanical thrombectomy in anticoagulation-resistant COVID-19 associated cerebral venous sinus thrombosis

Ali Sajjad et al. BMJ Case Rep. .
No abstract available

Keywords: COVID-19; infection (neurology); stroke.

PubMed Disclaimer

Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
There is a focal area of T1 hypointensity (A) and T2/Fluid attenuated inversion recovery (FLAIR) hyperintensity (B and C) identified in the cortical and subcortical location of the right frontal lobe near the high vertex, parasagittal location. On postcontrast sequences, there is mild meningeal enhancement (D).
Figure 2
Figure 2
Filling defect is identified in the left sigmoid sinus (A) extending into the distal transverse sinus (B). There is also a filling defect in the torcula Herophili (C) extending into the distal portion of the superior sagittal sinus. Partial filling defect is also identified in the superior sagittal sinus near the vertex (D). Findings are suggestive of cerebral venous sinus thrombosis.
Figure 3
Figure 3
Interval increase in oedema in right frontal lobe. Interval development of few hyperdense foci in right frontal lobe, suggestive of rebleed.
Figure 4
Figure 4
Subsequently an 8 Fr sheath was placed in the right internal jugular vein. Through this access, multiple passes of Fogarty catheter were made, which resulted in complete clearance of superior sagittal sinus with good flow.
See this image and copyright information in PMC

References

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