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

doi:10.1016/j.jocn.2014.12.023

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 journal › Article › peer-review

9 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 language	English (US)
Pages (from-to)	1018-1020
Number of pages	3
Journal	Journal of Clinical Neuroscience
Volume	22
Issue number	6
DOIs	https://doi.org/10.1016/j.jocn.2014.12.023
State	Published - 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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10.1016/j.jocn.2014.12.023

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title = "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.",

keywords = "Catheter, Double lumen balloon, Double lumen catheter, Endovascular neurosurgery, Thrombolysis, Venous sinus thrombolysis",

author = "{El Tecle}, {Najib E.} and Patel, {Biraj M.} and {El Ahmadieh}, {Tarek Y.} and Daou, {Marc R.} and Hamade, {Youssef J.} and Zammar, {Samer G.} and Ali Shaibani and Bendok, {Bernard R.}",

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AU - El Tecle, Najib E.

AU - Patel, Biraj M.

AU - El Ahmadieh, Tarek Y.

AU - Daou, Marc R.

AU - Hamade, Youssef J.

AU - Zammar, Samer G.

AU - Shaibani, Ali

AU - Bendok, Bernard R.

PY - 2015/6/1

Y1 - 2015/6/1

N2 - 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.

AB - 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.

KW - Catheter

KW - Double lumen balloon

KW - Double lumen catheter

KW - Endovascular neurosurgery

KW - Thrombolysis

KW - Venous sinus thrombolysis

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JO - Journal of Clinical Neuroscience

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ER -

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

Abstract

Keywords

ASJC Scopus subject areas

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