Successful combined approach to extensive cerebral venous sinus thrombosis with Penumbra aspiration and Solitaire FR


A combined approach with the Penumbra aspiration system (Penumbra) and the Solitaire FR retrieval device (ev3, Covidien) has been successfully used in a patient with extensive superior sagittal sinus thrombosis and cortical venous thrombosis, according to a case report. 

Radoslav Raychev, Division of Interventional Neuroradiology, Department of Radiological Sciences, David Geffen School of Medicine at UCLA, Los Angeles, USA and colleagues, report the successful treatment in the Journal of NeuroInterventional Surgery.

The novel technique was performed in a young woman with rapid, progressive neurologic decline due to malignant cerebral oedema caused by a cerebral venous sinus thrombosis.

“Complete revascularisation of the occluded sinus was achieved using suction thrombectomy with the 5Max Penumbra catheter in combination with the Solitaire retrieval device,” describes Raychev et al.

“To our knowledge, this is the first reported case describing such a combined mechanical approach to cerebral venous sinus thrombosis. The clot retrieval properties of the Solitaire device combined with direct aspiration via the newest generation Penumbra catheters may allow more rapid, safe and efficient revascularisation than all previously reported endovascular treatments for this potentially devastating condition,” they say.