An algorithm for the diagnosis and management of CVT

Slides:



Advertisements
Similar presentations
A 38-year-old patient with partial seizures Teaching NeuroImages Neurology Resident and Fellow Section © 2014 American Academy of Neurology.
Advertisements

Cerebral venous sinus thrombosis
Copyright © 2003 American Medical Association. All rights reserved.
(A) Initial MR venography demonstrated partial thrombosis of the superior sagittal sinus, torcula, and proximal transverse sinuses (arrows). (B) Follow-up.
Copyright © 2012 American Medical Association. All rights reserved.
Sagittal magnetic resonance T1-weighted image with contrast of the lumbar spine demonstrating diskitis/osteomyelitis associated with a spinal epidural.
From: Low-Molecular-Weight Heparins Compared with Unfractionated Heparin for Treatment of Acute Deep Venous Thrombosis: A Cost-Effectiveness Analysis Ann.
Copyright © 2000 American Medical Association. All rights reserved.
Contemporary Diagnosis and Management of Unstable Angina
by Nadine Martel, James Lee, and Philip S. Wells
Photographs by microscope showing straight (left) and 180° curved models (right) of a fusiform aneurysm in a 3 mm diameter vessel in which the new Low-profile.
A) Post-operative CT scan of lumbosacral spine, axial view, demonstrating the trajectory of the iliac screws placed through the ilium. b) anterior-posterior.
Cerebral Venous Sinus Thrombosis Associated with Spontaneous Intermittent Cerebrospinal Fluid Rhinorrhea: A Case Report Med Princ Pract 2012;21:392–394.
Large vessel occlusion screening tools—brain view
Steven Tobochnik, Camilo Gutierrez, Mercedes P. Jacobson 
Low molecular weight heparin versus oral anticoagulants in the long-term treatment of deep venous thrombosis  Paloma López-Beret, MD, Antonio Orgaz, MD,
Examples of three aneurysms treated with stand-alone coiling.
New oral anticoagulants—what the cardiothoracic surgeon needs to know
Succinct Review of the New VTE Prevention and Management Guidelines
A thromboembolic occlusion of the right anterior cerebral artery (ACA) occurred during clot removal from the ipsilateral carotid termination. A thromboembolic.
Automatic contour detection algorithm for carotid artery quantification. Automatic contour detection algorithm for carotid artery quantification. The endoluminal.
Steven Tobochnik, Camilo Gutierrez, Mercedes P. Jacobson 
Embolic occlusion of the right middle cerebral artery (MCA), treated by mechanical thrombectomy using a Solitaire stent. Embolic occlusion of the right.
Photos of a pCONus device showing the stent-like shaft, the four distal petals that rest within the aneurysm, and the polyamide fibers that cross the distal.
Management of Dural Venous Sinus Thrombosis in Pregnancy
Patient No 3 presented with aphasic transient ischemic attacks and a history of a motor vehicle collision 20 years earlier. Patient No 3 presented with.
Educational challenges in vascular surgery: An Australasian response
Treatment and secondary prevention strategy diagram for VTE in patients with active cancer based on the treatment guidelines for cancer-associated VTE.
Incidence of (A) recurrent VTE and (B) major bleeding in select randomised clinical trials of LMWH for the treatment and secondary prevention of VTE in.
Examples of immediate flow restoration (A, B) and thrombus retrieval (C, D). Examples of immediate flow restoration (A, B) and thrombus retrieval (C, D).
(a) Postoperative T1-weighted magnetic resonance image depicting appropriate decompression. (a) Postoperative T1-weighted magnetic resonance image depicting.
Angiogram acquired at the end of endovascular treatment (A) and coronal multiplanar reformatting from bolus enhanced CT angiography (B), showing two overlapping.
A 55-year-old patient with a history of intraparenchymal hemorrhage on CT of the head (A) related to a right transverse–sigmoid dural arteriovenous fistula.
Photographs showing optical coherence tomography (OCT) images after deployment of the new Low-profile Visualized Intraluminal Support device (LVIS Blue)
Examples of three aneurysms treated with coil embolization except for the ophthalmic aneurysm (C) that was treated with stent assistance. Examples of three.
Magnetic resonance image showing lumbar spinal stenosis.
Magnetic resonance images before surgery.
(A) Incidental finding of a wide-necked middle cerebral artery aneurysm on the left side in a 53-year-old woman (right anterior oblique and caudal view).
(A) Simulation of flow diversion of a wide neck aneurysm by the pipeline device (PD). (A) Simulation of flow diversion of a wide neck aneurysm by the pipeline.
Magnetic resonance imaging of the cervical spine: reduced thickness of cord along with hyperintense signal on T2 in cord at the level C1-vertebra–myelomalacia.
At 5 days after revision percutaneous endoscopic discectomy (PED) surgery, the discal cyst disappeared on T2-weighted magnetic resonance imaging (A) sagittal.
Any, acute and subacute stent thrombosis with bivalirudin versus unfractionated heparin (UFH) in predominantly ST segment elevation myocardial infarction.
Lateral projection angiogram at completion of the procedure from the left internal carotid artery demonstrating preservation of the transverse sinus providing.
Postoperative radiographic findings at 6 weeks show a cystic lesion on the left side of L4-L5 disc on T2-weighted magnetic resonance imaging (A, B) and.
Preoperative T2-weighted magnetic resonance imaging (MRI) (sagittal view) shows disc herniation at the L4-L5 disc level (A) and axial view of MRI shows.
Large vessel occlusion screening tools—brain view
Image processing of aneurysm 6 (Target) including (A) the scanned image, (B) the binary image, (C) the binary image with elliptical mask adjusted to account.
(A) The total number of soft elastic clot (SEC) emboli is reduced with the use of the balloon guide catheter (BGC). (A) The total number of soft elastic.
(A) Lateral x-ray of the cervical spine of a 56-year-old male with Down syndrome and progressive myelopathy. (A) Lateral x-ray of the cervical spine of.
Trend of mean arterial blood pressure over time stratified by outcome defined by modified Rankin Scale (mRS) score: good outcome defined as mRS score ≤2;
Comparison of the number of passes made using a stent retriever in the endovascular therapy following IV rt-PA administration group (IV+EV) and endovascular.
A middle-aged patient with 9 mm internal carotid artery-terminus aneurysm with contralateral access via SL-10 microcatheter, avoiding Y-stent, and demonstrating.
Adventitial cystic disease of the femoral vein in a 5-year-old boy mimicking deep venous thrombosis  Douglas W. Jones, MD, Combiz Rezayat, MD, Patricia.
Unruptured left middle cerebral artery aneurysm
Non-contrast head CT (A) showing diffuse subarachnoid hemorrhage and hydrocephalus. Non-contrast head CT (A) showing diffuse subarachnoid hemorrhage and.
Changes of treatment selection for ruptured and unruptured cerebral aneurysms in the USA before and after the publication of the International Subarachnoid.
Adult patient presenting with a mixed density, chronic, left subdural hematoma with associated local mass effect (A). Adult patient presenting with a mixed.
A 69-year-old patient with subarachnoid and intraventricular hemorrhage on CT of the head (A). A 69-year-old patient with subarachnoid and intraventricular.
Posterior-anterior projection after Onyx embolization in a patient with recurrent chronic subdural hematoma following initial surgical evacuation. Posterior-anterior.
(A) Pre-embolization right external carotid lateral view angiograms demonstrating a large blush consistent with a hypervascular glomus jugulare tumor.
An unresponsive 42-year-old patient with seizure.
Effects of vitamin K antagonists (VKA), such as warfarin, low-molecular-weight heparin (LMWH), and dabigatran, on the coagulation pathway. Effects of vitamin.
Woven EndoBridge (WEB) devices used in the US WEB-IT Study.
Sagittal thick (3.5 mm, A, B, C) and thin (1 mm, D, E, F) and axial thin (0.4 mm, G, H, I) reconstructions of high-resolution flat-panel CT in the same.
Study protocol. Study protocol. All participants were studied on four occasions: Twice before and twice after an 8-wk treatment period on low-dosage, low.
Temporal profiles of C-reactive protein (CRP), interleukin 6 (IL-6) and interleukin 1 receptor antagonist (IL-1Ra) after subarachnoid hemorrhage plotted.
(A) Anteroposterior view of the cerebral circulation following a left common carotid artery injection showing a large aneurysm arising from the cavernous.
Accuracy of the volumetric impedance phase shift spectroscopy (VIPS) device in differentiating severe stroke from small strokes compared with other commonly.
Receiver operating characteristic curve for the volumetric impedance phase shift spectroscopy (VIPS) device to differentiate subjects with severe stroke.
‘Pull up traction test’ setting: the figure shows a stent retriever deployed within a silicone tube maintained by a rigid scaffold; the push wire is connected.
Presentation transcript:

An algorithm for the diagnosis and management of CVT An algorithm for the diagnosis and management of CVT. CTV, CT venography; CVT, cerebral venous thrombosis; ICH, intracerebral hemorrhage; LMWH, low molecular weight heparin; MRV, magnetic resonance venography; PRES, posterior reversible encephalopathy syndrome; UHF, unfractionated heparin. An algorithm for the diagnosis and management of CVT. CTV, CT venography; CVT, cerebral venous thrombosis; ICH, intracerebral hemorrhage; LMWH, low molecular weight heparin; MRV, magnetic resonance venography; PRES, posterior reversible encephalopathy syndrome; UHF, unfractionated heparin. Seon-Kyu Lee et al. J NeuroIntervent Surg 2018;10:803-810 Copyright © Society of NeuroInterventional Surgery. All rights reserved.