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. 2023 Sep 28;9(1):105–113. doi: 10.1177/23969873231202363

Figure 1.

Figure 1.

Presentation of an illustrative case of EVT in CVST-VITT. Female patient with extensive thrombosis of the superior sagittal sinus (SSS; arrows in (a)) and the right transverse sinus (TS; arrow in (b)) with microhemorrhages and focal edema (c and d). Digital subtraction angiography with injection of the right internal carotid artery (ICA; (e) posterior-anterior view, (f) lateral view) confirmed extensive occlusion of the SSS and right TS with missing opacification of the cortical veins. (g and h) EVT was performed by aspiration with a large-bore aspiration catheter (arrow: tip of the 6F Sofia plus, Microvention) in the SSS and simultaneous use of two stent retrievers (arrowheads: Solitaire 6/40 mm, Medtronic). Injection of the right ICA after three passes demonstrated recanalization of the SSS and right TS (i and j). MRI at 3-month follow-up showed edema resolution (k and l).