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Endovascular treatment for dural sinus thrombosis is typically reserved for a small subset of patients who fail medical management. Conventional neurovascular aspiration catheters are suboptimal for use in dural sinus thrombosis given their relatively small caliber with respect to the large dural sinuses and risk of significant blood loss if continuous suction is applied through the catheter as it traverses patent portions of the large veins. We present a case where the Penumbra Lightning aspiration system, currently approved for thrombectomy in the peripheral and pulmonary vasculature, was successfully used for dural sinus thrombectomy with rapid clinical improvement of the patient.

baylor university medical center proceedings

Efficient bloodless mechanical thrombectomy for massive dural sinus thrombosis associated with COVID-19 using the 12-French Penumbra Lightning intelligent aspiration system