Sliding balloon technique to treat acute severe sinus thrombosis: a technical case report

Abstract

Objective: We report a case with acute cerebral sinus thrombosis treated by a sliding balloon technique combined with local thrombolysis.
Case presentation: A 21yearold man presented at our outpatient clinic with headache, followed by rapidly progressing consciousness disturbance and respiratory failure. Angiography revealed occlusion of the superior sagittal and bilateral transverse sinuses. We immediately performed mechanical thrombectomy using a sliding balloon and local infusion of urokinase. The occlusive sinuses were rapidly recanalized, and the patient recovered remarkably.
Conclusion: Mechanical thrombectomy using a sliding dilated balloon with local infusion of urokinase is an effective method to treat acute, severe sinus thrombosis.