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• W4293441736 abstract "<h3>Introduction</h3> The role of mechanical-thrombectomy (MT) in cerebral venous sinus thrombosis (CVT) is ambiguous. <h3>Aim</h3> To share our experience with MT in CVT, supplemented by a meta-analysis on this treatment. <h3>Methods</h3> All patients who had MT for CVT at our institution, between 2016 and 2021, were retrospectively reviewed for treatment indications, technique used, success & complication rates and clinical outcomes. Meta-analysis was performed for clinical and safety outcomes from published literature with > 10 patients. <h3>Results</h3> There were 15 patients included for this study. All of them had a venous hemorrhage or were deteriorating despite anticoagulation. MT was performed using aspiration (with wide bore catheters) in 7 patients: aspiration with stentretriever in 5 and a transjugular thrombectomy with Fogarty-balloon in 3 patients. Adjunctive IST was used in 4 cases and venoplasty in 3. Technical success (restoring antegrade venous flow on arterial injection) was 100% with no procedure-related major complication. Direct transjugular approach was cheaper and faster. At 3-month follow-up 86% of patients had good outcomes (MRS <2). Meta-analysis of clinical and safety outcomes from 20 and 17 studies respectively, demonstrated positive association between MT and good outcomes (OR = 6.58 [3.09, 14.00]; p < 0.001) and no significant association with hazardous periprocedural events. <h3>Conclusion</h3> MT for CVT is safe and effective. We propose transjugular approach and MT with embolectomy balloons as an effective but cheaper and faster option. Notwithstanding the positive association, heterogeneity of the published data limits a robust meta-analysis on the role of MT in CVT. <h3>References</h3> Jama Neurol.2020;<b>77</b>(8):966–973 Stroke. 2015;46:1263–1268 Jnis 2018;10:803–810 Clin Neuroradiol 2020; 30(4): 661–670 <h3></h3> <b>Do you have any conflict of interest to declare?</b>: Yes <h3>Conflict of Interest Statement</h3> Consulted and/proctored for Penumbra, Medtronic and Stryker" @default.
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• W4293441736 date "2022-08-29" @default.
• W4293441736 modified "2023-09-25" @default.
• W4293441736 title "O22 Mechanical thrombectomy for cerebral venous sinus thrombosis: single centre experience and meta-analysis" @default.
• W4293441736 doi "https://doi.org/10.1136/neurintsurg-2022-esmint.22" @default.
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