Stenting for XXXX in the superior sagittal sinus.

@entity1 @entity3439 @entity66 @entity1188 @entity715 @entity50
UNASSIGNED: Endovascular treatment for superior sagittal sinus (SSS) @entity715 is not always successful because of difficult access and @entity66 . We report the first two cases of @entity1 with @entity50 at the SSS that was not recanalized by anticoagulation, mechanical thrombectomy, or thrombolysis, but was successfully treated by stent placement. Case 1 was a 37-year-old @entity1 with bilateral @entity3439 . Digital subtraction angiography showed obstruction of the sinus from the SSS to the right transverse sinus. Recanalization was achieved by selective thrombolysis using urokinase followed by balloon angioplasty, but re-occlusion occurred on the next day of treatment. Repeated endovascular treatment including balloon angioplasty, @entity715 aspiration and thrombolysis using recombinant tissue plasminogen activator failed to achieve recanalization. We thus placed intracranial stents in the SSS, which did achieve recanalization. Case 2 was a 69-year-old @entity1 with a small @entity1188 in the left parietal lobe. Digital subtraction angiography showed @entity50 from the SSS to the bilateral transverse sinuses. Recanalization was not achieved by balloon angioplasty, @entity715 aspiration and selective thrombolysis. We thus placed intracranial stents in the SSS, which did achieve recanalization. Postoperative course was uneventful in both cases and venous sinus patency was confirmed by venography >1.5 years after treatment. When conventional endovascular strategies have been unsuccessful, placement of intracranial stents, which can easily gain access to the distal part of the SSS as compared with carotid stents, may be a useful treatment option for the acute sinus @entity715 in this region.
