# Case Report: Mechanical thrombectomy using stent retriever devices in deep cerebral venous thrombosis: illustrative cases

## TL;DR

This case report shows how mechanical thrombectomy with stent retrievers can treat deep cerebral venous thrombosis when anticoagulants fail.

## Contribution

The paper presents two illustrative cases, including one using a novel stent retriever device (Tiger XL®), for treating deep cerebral venous thrombosis.

## Key findings

- Mechanical thrombectomy with stent retrievers can be effective in treating deep cerebral venous thrombosis when anticoagulation fails.
- The Tiger XL® device was successfully used in one case, expanding the range of available endovascular treatment options.

## Abstract

Treatment of cerebral venous thrombosis has traditionally been based on anticoagulant therapy. However, in certain circumstances, such as deep cerebral venous thrombosis, anticoagulation may be insufficient, so endovascular treatment by mechanical thrombectomy has been used for some years. There is currently no clear indication of which device is the gold standard in the endovascular treatment of cerebral venous thrombosis, although stent retriever devices are the most commonly used.

We describe two cases of deep cerebral venous thrombosis refractory to anticoagulant treatment treated by mechanical thrombectomy with stent retriever devices, one of which has not been described to date as being used in the treatment of cerebral venous thrombosis (Tiger XL®).

Some situations in like deep cerebral venous thrombosis may require endovascular treatment with mechanical thrombectomy if anticoagulation fails, with increasing evidence that it improves vital and functional prognosis.