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AJNR - American Journal of Neuroradiology

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American Journal of Neuroradiology 25:1807-1811, November-December 2004
© 2004 American Society of Neuroradiology

Case Report
INTERVENTIONAL

Rheolytic Catheter Thrombectomy, Balloon Angioplasty, and Direct Recombinant Tissue Plasminogen Activator Thrombolysis of Dural Sinus Thrombosis with Preexisting Hemorrhagic Infarctions

Kenneth R. Curtin^a, Ali Shaibani^a, Scott A. Resnick^b, Eric J. Russell^a and Tanya Simuni^b

^a Department of Neuroradiology, Northwestern University, Feinberg School of Medicine, Chicago, IL
^b Department of Radiology, Northwestern University, Feinberg School of Medicine, Chicago, IL

Address correspondence to Kenneth R. Curtin, Department of Radiology, Memorial Health University Medical Center, 4700 Waters Avenue, Savannah, GA 31404

Summary: We describe the case of a 28-year-old obtunded woman who presented with bilateral anterior parietal lobe cortical hemorrhages associated with thrombosis of the superior sagittal sinus, both transverse and sigmoid sinuses, and multiple cortical veins draining into the sagittal sinus. Initial heparin therapy was not effective. A combination of AngioJet rheolytic catheter thrombectomy, balloon angioplasty, and continuous direct superior sagittal sinus recombinant tissue plasminogen activator infusion led to venous recanalization with a successful clinical outcome, without worsening of the preexisting intracranial hemorrhages.

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