Novel use of a double lumen balloon catheter for venous sinus thrombolysis and venoplasty.

Abstract

We describe the novel use of a double lumen balloon catheter for venous sinus thrombolysis and venoplasty. Cerebral venous sinus thrombosis is a rare disease that is usually treated with medical anticoagulation. In certain refractory cases, surgical or endovascular thrombolysis and thrombectomy may be required. A 48 year-old man on anticoagulation for cerebral venous sinus thrombosis presented with nausea, vomiting and worsening hemiparesis. The patient underwent endovascular venous sinus thrombolysis and venoplasty with continuous in situ tissue plasminogen activator (tPA) infusion over 48 hours. This novel approach to the endovascular treatment of venous sinus thrombosis, including the use of a double lumen balloon was advantageous, as it allowed direct infusion of tPA through the balloon catheter without having to exchange the balloon for a microcatheter.

• Authors: Najib E El Tecle, Biraj M Patel, Tarek Y El Ahmadieh, Marc R Daou, Youssef J Hamade, Samer G Zammar, Ali Shaibani, Bernard R Bendok
• Journal: Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia (J Clin Neurosci) Vol. 22 Issue 6 Pg. 1018-20 (Jun 2015) ISSN: 1532-2653 [Electronic] Scotland
• PMID: 25863997 (Publication Type: Case Reports, Journal Article)
• Copyright: Copyright © 2015. Published by Elsevier Ltd.

Chemical References

• Fibrinolytic Agents
• Tissue Plasminogen Activator

Topics

• Catheters
• Endovascular Procedures (instrumentation, methods)
• Fibrinolytic Agents (administration & dosage)
• Humans
• Male
• Middle Aged
• Sinus Thrombosis, Intracranial (drug therapy)
• Thrombolytic Therapy (instrumentation)
• Tissue Plasminogen Activator (administration & dosage)