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The paper by Dashti et al1 describes 13 patients who received mechanical thrombectomy with the AngioJet device as first-line treatment for cerebral venous thrombosis (CVT). Mechanical thrombectomy is a promising alternative to endovascular thrombolysis with thrombolytic drugs. Hemorrhagic infarcts are common among patients with CVT and it is plausible—although unproven—that mechanical thrombectomy gives fewer hemorrhagic complications.
There are, however, some issues that render the authors' suggestion to use mechanical thrombectomy as a first-line treatment …
Competing interests None.
Provenance and peer review Not commissioned; internally peer reviewed.