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

Tecle, Najib E. El; Patel, Biraj M.; Ahmadieh, Tarek Y. El; Daou, Marc; Hamade, Youssef J.; Zammar, Samer G.; Shaibani, Ali; Bendok, Bernard R.

doi:10.1016/j.jocn.2014.12.023

Cited by 9 publications

(8 citation statements)

References 26 publications

(21 reference statements)

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“…A total of thirty-five (35) published articles reporting data for patients receiving medical and endovascular therapies were selected for data abstraction. The number of articles for each study type was subcategorized: Individual case reports (CR) (13/35; 37.1%) (11,12,14,19, 21,26,28,31,33,35,37,39,41), case series (CS) (5/35; 14.2%) (13,18,20,25,40), retrospective reviews (RtR) (6/35; 17.1%) (16,22,29,30,36,38), systematic reviews of case reports/case studies (SR) (8/35; 22.8%) (4,5,8,15,17,23,24,34), and observational studies (PO) (3/35, 8.5%) (27,32,42). …”

Section: Resultsmentioning

confidence: 99%

“…Individual case reports (13/35; 37.1%) (11,12,14,19, 21,26,28,31,33,35,37,39,41), case series (5/35; 14.2%) (13,18,20,25,40), retrospective reviews (6/35; 17.1%) (16,22,29,30,36,38), and observational studies (3/35, 8.5%) (27,32,42) that were not otherwise mentioned or included in selected systematic reviews were included (Fig. 2).…”

Section: Resultsmentioning

confidence: 99%

“…A total of 312 patients from twenty-five (11,13,14,17-22,25-33,35-39,41,42) articles were included for statistical analysis. All patients included, 100%, received endovascular intervention with direct thrombolysis, mechanical thrombectomy or both.…”

Section: Resultsmentioning

confidence: 99%

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New Developments in the Pathophysiology, Workup, and Diagnosis of Dural Venous Sinus Thrombosis (DVST) and a Systematic Review of Endovascular Treatments

Konakondla¹,

Schirmer²,

Li³

et al. 2017

Aging and disease

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Dural venous sinus thrombosis (DVST) is a rare cause of stroke, which typically affects young women. The importance of identifying pre-disposing factors that lead to venous stasis lies in the foundation of understanding the etiology, pathophysiology and clinical presentation. The precise therapeutic role of interventional therapies is not fully understood though the current data do suggest potential applications. The aim of the study was to perform a systematic review and meta-analysis to evaluate the utility of and short-term 30-day survival after endovascular therapy for patients with DVST. Standard PRISMA guidelines were followed. Data sources included PubMed keywords and phrases, which were also incorporated into a MeSH search to yield articles indexed in Medline over a 5-year period. All RCTs, observational cohort studies, and administrative registries comparing or reporting DVST were included. Sixty-six studies met inclusion criteria. 35 articles investigating treatment in a summation of 10,285 patients were eligible for data extraction and included in the review of treatment modalities. A total of 312 patients were included for statistical analysis. All patients included received endovascular intervention with direct thrombolysis, mechanical thrombectomy or both. 133 (42.6%) patients were documented to have a neurologic decline, which prompted endovascular intervention. All patients who had endovascular interventions were those who were started on and failed systemic anticoagulation. 44 patients were reported to have intracranial hemorrhages after intervention. Regardless of systemic anticoagulation, patients were still reported to have complications of VTE and PE. Primary outcome at 3-6 month follow up revealed mRS<1 in 224 patients. DVST presents with many diagnostic and therapeutic challenges. The utility of invasive interventions such as local thrombolysis and mechanical thrombectomy is not fully understood. It is exceedingly difficult to conduct large randomized trials for this low incidence disease process with large pathophysiological heterogeneity.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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New Developments in the Pathophysiology, Workup, and Diagnosis of Dural Venous Sinus Thrombosis (DVST) and a Systematic Review of Endovascular Treatments

Konakondla¹,

Schirmer²,

Li³

et al. 2017

Aging and disease

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“…There have been reports of endovascular treatment involving infusion of thrombolytic agents, 12 balloon angioplasty, 7,13 and, more recently, the combination of a stent retriever and aspiration. 5 We describe here the "venous sinus floss" technique for recanalization of acute sinus thrombosis.…”

mentioning

confidence: 99%

“…12 However, the risk of intracranial bleeding has limited the use of these thrombolytic enzymes. El Tecle et al 7 reported venoplasty with a Scepter XC balloon catheter (MicroVention) for sinus thrombosis followed by tissue plasminogen activator infusion. Mokin et al 11 reported that a Penumbra aspiration catheter was used in 69% of all cases after the larger-bore aspiration catheters (5MAX and 5MAX ACE) were introduced.…”

mentioning

confidence: 99%

Novel balloon-and-aspiration method for cerebral venous sinus thrombosis: dental-floss technique

Matsuda

Okada

Chung

et al. 2017

FOC

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Cerebral venous sinus thrombosis is sometimes fatal. The standard treatment for sinus thrombosis is anticoagulation, but endovascular intervention must be considered when medical treatment fails. Mechanical thrombectomy is usually required when a large clot burden exits. Unfortunately, in sinus thrombosis attributable to a clot burden larger than that in an intracranial artery, the conventional technique used for intraarterial acute stroke intervention with a stent retriever and/or aspiration is not very effective. The authors describe here their endovascular approach to mechanical thrombectomy for sinus thrombosis using aspiration combined with angioplasty balloon support.

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Mechanical Thrombectomy with Intraoperative Local Thrombolysis Versus Mechanical Thrombectomy with Continuous Thrombolysis for Treatment of Cerebral Venous Sinus Thrombosis: A Systematic Review of 82 Cases

Chen

Huang

et al. 2019

World Neurosurgery

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

Cited by 9 publications

References 26 publications

New Developments in the Pathophysiology, Workup, and Diagnosis of Dural Venous Sinus Thrombosis (DVST) and a Systematic Review of Endovascular Treatments

New Developments in the Pathophysiology, Workup, and Diagnosis of Dural Venous Sinus Thrombosis (DVST) and a Systematic Review of Endovascular Treatments

Novel balloon-and-aspiration method for cerebral venous sinus thrombosis: dental-floss technique

Mechanical Thrombectomy with Intraoperative Local Thrombolysis Versus Mechanical Thrombectomy with Continuous Thrombolysis for Treatment of Cerebral Venous Sinus Thrombosis: A Systematic Review of 82 Cases

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