Current endovascular strategies for cerebral venous thrombosis: Report of the SNIS Standards and Guidelines Committee

Abstract

Cerebral venous thrombosis (CVT) is a rare condition accounting for <1% of all strokes, with highly variable clinical presentations ranging from a headache to coma.1-4 Although MRI and MR venography have significantly improved early diagnosis, clinical outcomes after treatment remain mixed.5 6 The aims of this document include: (1) to review existing knowledge about the natural history, diagnostic methodology, and treatment modalities/ techniques for CVT, and (2) to provide recommendations on management strategies for CVT using the best available evidence, but out of necessity, frequently relying on expert opinion concerning this rare disease. Recommendations follow the American College of Cardiology/American Heart Association (ACC/AHA) classification of recommendation/ level of evidence and definition of classes and levels of evidence used in AHA/American Stroke Association (ASA) recommendations.