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

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*

*Corresponding author for this work

Research output: Contribution to journalArticle

8 Scopus citations

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.

Original languageEnglish (US)
Pages (from-to)1018-1020
Number of pages3
JournalJournal of Clinical Neuroscience
Volume22
Issue number6
DOIs
StatePublished - Jun 1 2015

Keywords

  • Catheter
  • Double lumen balloon
  • Double lumen catheter
  • Endovascular neurosurgery
  • Thrombolysis
  • Venous sinus thrombolysis

ASJC Scopus subject areas

  • Surgery
  • Neurology
  • Clinical Neurology
  • Physiology (medical)

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