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Restenosis of the sigmoid sinus after stenting for treatment of intracranial venous hypertension: case report

  • Interventional Neuroradiology
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Abstract

We report what we believe to be the first case of restenosis of the sigmoid sinus after stenting, in a 42-year-old man with an arteriovenous malformation with progressive right hemiparesis secondary to venous hypertension. Angiography revealed severe stenosis of the left sigmoid sinus, which was dilated with a self-expandable stent. Six months after the procedure, however, the sinus was again severely stenosed. Intravascular sonography revealed intimal proliferation in the stented sinus. It was dilated percutaneously, and the venous pressure decreased from 51 to 33 mmHg. On sonography, the intimal tissue decreased in thickness and the diameter of the stent enlarged a little.

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References

  1. Tomura N, Hirata K, Watarai J, et al (1993) An occlusion and stenosis of the venous drainage system in cerebral AVMs—angiographical investigation. No Shinkei Geka 45: 531–536

    CAS  Google Scholar 

  2. Viñuela F, Nombela L, Roach MR, et al (1985) Stenotic and occlusive disease of the venous drainage system of deep brain AVM’s. J Neurosurg 63: 180–184

    PubMed  Google Scholar 

  3. Yasargil MG (1987) Microneurosurgery. Thieme, Stuttgart, New York, pp 190–211

  4. Al-Mubarak N, Gomez CR, Vitek JJ, et al (1998) Stenting of symptomatic stenosis of the intracranial internal carotid artery. AJNR 19: 1949–1951

    CAS  Google Scholar 

  5. Phatouros CC, Higashida RT, Malek AM, et al (1999) Endovascular stenting of an acutely thrombosed basilar artery: technical case report and review of the literature. Neurosurgery 44: 667–673

    CAS  PubMed  Google Scholar 

  6. Malek AM, Higashida RT, Balousek PA, et al (1999) Endovascular recanalization with balloon angioplasty and stenting of an occluded occipital sinus for treatment of intracranial venous hypertension: technical case report. Neurosurgery 44: 896–901

    CAS  PubMed  Google Scholar 

  7. Murphy KJ, Gailloud P, Venbrux A, et al (2000) Endovascular treatment of a grade IV transverse sinus dural arteriovenous fistula by sinus recanalization, angioplasty, and stent placement: technical case report. Neurosurgery 46: 497–501

    CAS  PubMed  Google Scholar 

  8. Song JK, Patel AB, Duckwiler GR, et al (2002) Adult pial arteriovenous fistula and superior sagittal sinus stenosis: angiographic evidence for high-flow venopathy at an atypical location. J Neurosurg 96: 792–795

    PubMed  Google Scholar 

  9. Yamashita K, Taki W, Iwata H, et al (1996) A cationic polymer, eudragit-E, as a new liquid embolic material for arteriovenous malformations. Neuroradiology 38: 151–156

    Article  Google Scholar 

  10. Fry DL (1968) Acute vascular endothelial changes associated with increased blood velocity gradients. Circ Res 22: 165–197

    CAS  PubMed  Google Scholar 

  11. Nornes H, Grip A (1980) Hemodynamic aspects of cerebral arteriovenous malformations. J Neurosurg 53: 456–464

    CAS  PubMed  Google Scholar 

  12. Hoffmann R, Mintz GS, Dussaillant GR, et al (1996) Patterns and mechanisms of in-stent restenosis—a serial intravascular ultrasound study. Circulation 94: 1247–1254

    CAS  PubMed  Google Scholar 

  13. Kimura T, Yokoi H, Nakagawa Y, et al (1996) Three-year follow-up after implantation of metallic coronary-artery stents. N Engl J Med 334: 561–566

    Google Scholar 

  14. Adamian M, Colombo A, Briguori C, et al (2001) Cutting balloon angioplasty for the treatment of in-stent restenosis: a matched comparison with rotational atherectomy, additional stent implantation and balloon angioplasty. J Am Coll Cardiol 38: 672–679

    Article  CAS  PubMed  Google Scholar 

  15. Teirstein PS, Massullo V, Jani S, et al (1997) Catheter-based radiotherapy to inhibit restenosis after coronary stenting. N Engl J Med 336: 1697–1703

    Article  CAS  PubMed  Google Scholar 

  16. Mehran R, Mintz GS, Popma JJ, et al (1996) Mechanisms and results of balloon angioplasty for the treatment of in-stent restenosis. Am J Cardiol 78: 618–622

    Article  CAS  PubMed  Google Scholar 

  17. Hehrlein C, Gollan C, Donges K, et al (1995) Low-dose radioactive endovascular stents prevent smooth muscle cell proliferation and neointimal hyperplasia in rabbits. Circulation 92: 1570–1575

    CAS  PubMed  Google Scholar 

  18. Morice MC, Serruys PW, Sousa JE, et al (2002) Randomized study with the sirolimus-coated Bx velocity balloon-expandable stent in the treatment of patients with de novo native coronary artery lesions: a randomized comparison of a sirolimus-eluting stent with a standard stent for coronary revascularization. N Engl J Med.346: 1770–1771

    Google Scholar 

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Authors and Affiliations

  1. 811-1 Kimiidera, 641-0012, Wayakama, Japan

    T. Tsumoto

  2. Department of Neurosurgery, Minami Wakayama National Hospital, Wakayama, Japan

    T. Tsumoto, T. Miyamoto, M. Shimizu, Y. Inui, K. Nakakita & S. Hayashi

  3. Department of Neurological Surgery, Wakayama Medical University, Wakayama, Japan

    T. Terada

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  1. T. Tsumoto
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  2. T. Miyamoto
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  3. M. Shimizu
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  4. Y. Inui
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  5. K. Nakakita
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  6. S. Hayashi
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  7. T. Terada
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Correspondence to T. Tsumoto.

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Tsumoto, T., Miyamoto, T., Shimizu, M. et al. Restenosis of the sigmoid sinus after stenting for treatment of intracranial venous hypertension: case report. Neuroradiology 45, 911–915 (2003). https://doi.org/10.1007/s00234-003-1112-z

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  • DOI: https://doi.org/10.1007/s00234-003-1112-z

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