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Transfemoral thrombectomy in the cavernous sinus and superior ophthalmic vein
Cavernous sinus thrombosis (CST) is a rare condition that can cause death, neurologic disability, and visual loss. A pre-teen with septic CST leading to ocular hypertension and acute visual loss was treated at our institution with thrombectomy and thrombolysis of the cavernous sinuses and superior o...
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| Published in: | BMJ case reports 2018-02, Vol.2018, p.bcr-2017-013571 |
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| creator | Bauer, Justin Kansagra, Kartik Chao, Kuo H Feng, Lei |
| description | Cavernous sinus thrombosis (CST) is a rare condition that can cause death, neurologic disability, and visual loss. A pre-teen with septic CST leading to ocular hypertension and acute visual loss was treated at our institution with thrombectomy and thrombolysis of the cavernous sinuses and superior ophthalmic veins. Successful recanalization of the bilateral cavernous sinuses and superior ophthalmic veins was achieved in two separate procedures without complication. The patient showed immediate symptomatic relief. He was neurologically intact without visual deficits at the 2 month follow-up. This is the first report in the literature showing the feasibility of cavernous sinus thrombectomy using current devices and techniques. Early endovascular therapy may help preserve vision in patients with acute CST. |
| doi_str_mv | 10.1136/bcr-2017-013571 |
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A pre-teen with septic CST leading to ocular hypertension and acute visual loss was treated at our institution with thrombectomy and thrombolysis of the cavernous sinuses and superior ophthalmic veins. Successful recanalization of the bilateral cavernous sinuses and superior ophthalmic veins was achieved in two separate procedures without complication. The patient showed immediate symptomatic relief. He was neurologically intact without visual deficits at the 2 month follow-up. This is the first report in the literature showing the feasibility of cavernous sinus thrombectomy using current devices and techniques. Early endovascular therapy may help preserve vision in patients with acute CST.</description><identifier>ISSN: 1757-790X</identifier><identifier>EISSN: 1757-790X</identifier><identifier>DOI: 10.1136/bcr-2017-013571</identifier><identifier>PMID: 29437716</identifier><language>eng</language><publisher>England: BMJ Publishing Group LTD</publisher><subject>Angioplasty ; Anticoagulants - administration & dosage ; Blood clots ; Case reports ; Catheters ; Cavernous Sinus Thrombosis - complications ; Cavernous Sinus Thrombosis - diagnostic imaging ; Cavernous Sinus Thrombosis - therapy ; Child ; Endoscopy ; Fluoroscopy ; Humans ; Infections ; Male ; Neuroimaging ; Nose ; Ocular Hypertension - etiology ; Orbit - blood supply ; Orbit - diagnostic imaging ; Patients ; Plasminogen Activators - administration & dosage ; Retreatment - methods ; Sinuses ; Stroke ; Surgery ; Thrombectomy - methods ; Thrombosis ; Tomography, X-Ray Computed ; Veins & arteries ; Veins - diagnostic imaging ; Venous Thrombosis - diagnostic imaging ; Venous Thrombosis - therapy</subject><ispartof>BMJ case reports, 2018-02, Vol.2018, p.bcr-2017-013571</ispartof><rights>BMJ Publishing Group Ltd (unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.</rights><rights>Copyright: 2018 © BMJ Publishing Group Ltd (unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.</rights><rights>BMJ Publishing Group Ltd (unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted. 2018</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b3711-44bf0ea887ba0a642b29953c7d245113989cc21326fecfd7c3f324b3c2f873e3</citedby><cites>FETCH-LOGICAL-b3711-44bf0ea887ba0a642b29953c7d245113989cc21326fecfd7c3f324b3c2f873e3</cites><orcidid>0000-0002-2324-2307</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5836639/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5836639/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29437716$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bauer, Justin</creatorcontrib><creatorcontrib>Kansagra, Kartik</creatorcontrib><creatorcontrib>Chao, Kuo H</creatorcontrib><creatorcontrib>Feng, Lei</creatorcontrib><title>Transfemoral thrombectomy in the cavernous sinus and superior ophthalmic vein</title><title>BMJ case reports</title><addtitle>BMJ Case Rep</addtitle><description>Cavernous sinus thrombosis (CST) is a rare condition that can cause death, neurologic disability, and visual loss. A pre-teen with septic CST leading to ocular hypertension and acute visual loss was treated at our institution with thrombectomy and thrombolysis of the cavernous sinuses and superior ophthalmic veins. Successful recanalization of the bilateral cavernous sinuses and superior ophthalmic veins was achieved in two separate procedures without complication. The patient showed immediate symptomatic relief. He was neurologically intact without visual deficits at the 2 month follow-up. This is the first report in the literature showing the feasibility of cavernous sinus thrombectomy using current devices and techniques. Early endovascular therapy may help preserve vision in patients with acute CST.</description><subject>Angioplasty</subject><subject>Anticoagulants - administration & dosage</subject><subject>Blood clots</subject><subject>Case reports</subject><subject>Catheters</subject><subject>Cavernous Sinus Thrombosis - complications</subject><subject>Cavernous Sinus Thrombosis - diagnostic imaging</subject><subject>Cavernous Sinus Thrombosis - therapy</subject><subject>Child</subject><subject>Endoscopy</subject><subject>Fluoroscopy</subject><subject>Humans</subject><subject>Infections</subject><subject>Male</subject><subject>Neuroimaging</subject><subject>Nose</subject><subject>Ocular Hypertension - etiology</subject><subject>Orbit - blood supply</subject><subject>Orbit - diagnostic imaging</subject><subject>Patients</subject><subject>Plasminogen Activators - administration & dosage</subject><subject>Retreatment - methods</subject><subject>Sinuses</subject><subject>Stroke</subject><subject>Surgery</subject><subject>Thrombectomy - methods</subject><subject>Thrombosis</subject><subject>Tomography, X-Ray Computed</subject><subject>Veins & arteries</subject><subject>Veins - diagnostic imaging</subject><subject>Venous Thrombosis - diagnostic imaging</subject><subject>Venous Thrombosis - therapy</subject><issn>1757-790X</issn><issn>1757-790X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><recordid>eNqFkUtLxDAUhYMoOuis3UnBjQh18mrTbAQRX6C4mYW7kKSpk6FNatIO-O-NVGV0YxY3Cfe7h3s4ABwjeIEQKRdKhxxDxHKISMHQDpghVrCccfiyu_U-APMY1zAdgmhFyT44wJwSxlA5A0_LIF1sTOeDbLNhFXynjB58955Zl_4m03JjgvNjzKJ1qUpXZ3HsTbA-ZL5fDSvZdlZnG2PdEdhrZBvN_Os-BMvbm-X1ff74fPdwffWYK8IQyilVDTSyqpiSUJYUK8x5QTSrMS2SNV5xrTEiuGyMbmqmSUMwVUTjpmLEkENwOcn2o-pMrY0b0vaiD7aT4V14acXvjrMr8eo3oqhIWRKeBM6-BIJ_G00cRGejNm0rnUlOBYYQYwQrVCT09A-69mNwyZ1AnHNIK0jLRC0mSgcfYzDNzzIIis-wRApLfIYlprDSxMm2hx_-O5oEnE-A6tb_qn0Am5Kd5Q</recordid><startdate>20180207</startdate><enddate>20180207</enddate><creator>Bauer, Justin</creator><creator>Kansagra, Kartik</creator><creator>Chao, Kuo H</creator><creator>Feng, Lei</creator><general>BMJ Publishing Group LTD</general><general>BMJ Publishing Group</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-2324-2307</orcidid></search><sort><creationdate>20180207</creationdate><title>Transfemoral thrombectomy in the cavernous sinus and superior ophthalmic vein</title><author>Bauer, Justin ; Kansagra, Kartik ; Chao, Kuo H ; Feng, Lei</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b3711-44bf0ea887ba0a642b29953c7d245113989cc21326fecfd7c3f324b3c2f873e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Angioplasty</topic><topic>Anticoagulants - administration & dosage</topic><topic>Blood clots</topic><topic>Case reports</topic><topic>Catheters</topic><topic>Cavernous Sinus Thrombosis - complications</topic><topic>Cavernous Sinus Thrombosis - diagnostic imaging</topic><topic>Cavernous Sinus Thrombosis - therapy</topic><topic>Child</topic><topic>Endoscopy</topic><topic>Fluoroscopy</topic><topic>Humans</topic><topic>Infections</topic><topic>Male</topic><topic>Neuroimaging</topic><topic>Nose</topic><topic>Ocular Hypertension - etiology</topic><topic>Orbit - blood supply</topic><topic>Orbit - diagnostic imaging</topic><topic>Patients</topic><topic>Plasminogen Activators - administration & dosage</topic><topic>Retreatment - methods</topic><topic>Sinuses</topic><topic>Stroke</topic><topic>Surgery</topic><topic>Thrombectomy - methods</topic><topic>Thrombosis</topic><topic>Tomography, X-Ray Computed</topic><topic>Veins & arteries</topic><topic>Veins - diagnostic imaging</topic><topic>Venous Thrombosis - diagnostic imaging</topic><topic>Venous Thrombosis - therapy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bauer, Justin</creatorcontrib><creatorcontrib>Kansagra, Kartik</creatorcontrib><creatorcontrib>Chao, Kuo H</creatorcontrib><creatorcontrib>Feng, Lei</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>BMJ case reports</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bauer, Justin</au><au>Kansagra, Kartik</au><au>Chao, Kuo H</au><au>Feng, Lei</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Transfemoral thrombectomy in the cavernous sinus and superior ophthalmic vein</atitle><jtitle>BMJ case reports</jtitle><addtitle>BMJ Case Rep</addtitle><date>2018-02-07</date><risdate>2018</risdate><volume>2018</volume><spage>bcr-2017-013571</spage><pages>bcr-2017-013571-</pages><issn>1757-790X</issn><eissn>1757-790X</eissn><abstract>Cavernous sinus thrombosis (CST) is a rare condition that can cause death, neurologic disability, and visual loss. A pre-teen with septic CST leading to ocular hypertension and acute visual loss was treated at our institution with thrombectomy and thrombolysis of the cavernous sinuses and superior ophthalmic veins. Successful recanalization of the bilateral cavernous sinuses and superior ophthalmic veins was achieved in two separate procedures without complication. The patient showed immediate symptomatic relief. He was neurologically intact without visual deficits at the 2 month follow-up. This is the first report in the literature showing the feasibility of cavernous sinus thrombectomy using current devices and techniques. Early endovascular therapy may help preserve vision in patients with acute CST.</abstract><cop>England</cop><pub>BMJ Publishing Group LTD</pub><pmid>29437716</pmid><doi>10.1136/bcr-2017-013571</doi><orcidid>https://orcid.org/0000-0002-2324-2307</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Angioplasty Anticoagulants - administration & dosage Blood clots Case reports Catheters Cavernous Sinus Thrombosis - complications Cavernous Sinus Thrombosis - diagnostic imaging Cavernous Sinus Thrombosis - therapy Child Endoscopy Fluoroscopy Humans Infections Male Neuroimaging Nose Ocular Hypertension - etiology Orbit - blood supply Orbit - diagnostic imaging Patients Plasminogen Activators - administration & dosage Retreatment - methods Sinuses Stroke Surgery Thrombectomy - methods Thrombosis Tomography, X-Ray Computed Veins & arteries Veins - diagnostic imaging Venous Thrombosis - diagnostic imaging Venous Thrombosis - therapy |
| title | Transfemoral thrombectomy in the cavernous sinus and superior ophthalmic vein |
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