Solitaire FR device for treatment of dural sinus thrombosis

Pukenas, Bryan; Kumar, M Veerendra; Stiefel, Michael F.; Smith, Michelle J.; Hurst, Robert W.

doi:10.1136/bcr-2012-010543

Cited by 10 publications

(1 citation statement)

References 22 publications

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“…9,10 To our knowledge, this is the first case reported in the literature of a Solitaire FR device used for rescue following an involuntary acrylic glue migration into the draining vein. A stent-retriever device has already been used to retrieve coils, both in arterial and venous circulation.…”

Section: Discussionmentioning

confidence: 99%

Rescue N-butyl-2 cyanoacrylate embolectomy using a Solitaire FR device after venous glue migration during arteriovenous malformation embolization: technical note

Fahed

Clarençon

Sourour

et al. 2016

JNS

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One of the procedural risks in arteriovenous malformation (AVM) embolization is possible migration of the embolic agent into the venous drainage with an incomplete nidus occlusion, which may lead to severe hemorrhagic complications. This report presents the case of a 29-year-old man who presented with a deep intraparenchymal hematoma on the left side secondary to the spontaneous rupture of a claustral AVM. Upon resorption of the hematoma, the patient underwent an initial therapeutic session of N-butyl-2 cyanoacrylate endovascular embolization, with the purpose of reducing the AVM volume and flow before performing Gamma Knife radiosurgery. After glue injection into one of the arterial feeders, the control angiography showed a partial migration of the glue cast into the straight sinus, with most of the nidus still visible. Because of the bleeding risk due to possible venous hypertension, it was decided to try to retrieve the glue from the vein by using a stent retriever via jugular access. This maneuver allowed a nearly complete removal of the glue cast, thereby restoring normal venous flow drainage. The patient showed no clinical worsening after the procedure. To the authors’ knowledge, this is the first report of the use of the Solitaire FR device as a rescue glue retriever. This method should be considered by physicians in cases of unintended glue migration into the venous circulation during AVM embolization.

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Section: Discussionmentioning

confidence: 99%

Rescue N-butyl-2 cyanoacrylate embolectomy using a Solitaire FR device after venous glue migration during arteriovenous malformation embolization: technical note

Fahed

Clarençon

Sourour

et al. 2016

JNS

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Superior gluteal artery injury risk from third sacral segment transsacral screw insertion

Eastman

Kuse

Routt

et al. 2021

Eur J Orthop Surg Traumatol

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Endovascular treatments for cerebral venous sinus thrombosis

Qiu

Sang

Dai

et al. 2015

J Thromb Thrombolysis

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Cerebral venous sinus thrombosis (CVST) is an uncommon but potentially fatal condition. CVST usually occurs young adults with a female predominance. The current mainstay for treating CVST is anticoagulation with heparin. However, more aggressive interventions, endovascular treatment as an example, may be indicated in selected patients who are non-responsive to heparin and other anticoagulants. Endovascular approaches include catheter-based local chemical thrombolysis, balloon angioplasty and mechanical thrombectomy, all of which may rapidly recanalize the occluded venous sinus, restore the blood flow, reduce the increased intracranial pressure, and subsequently relieve the corresponding symptoms. However, as an invasive strategy, endovascular procedures per se may cause complications, such as intracranial hemorrhage, vessel dissection and pulmonary embolization, which may substantially decrease the benefit-risk ratio of the treatment. Due to the rareness of the condition and the limited indication of this invasive strategy, safety and efficacy of endovascular procedures in treating CVST are less feasible to be evaluated in large randomized clinical trails. Therefore, the evidences for justifying this treatment strategy are largely derived from case reports, cohort studies and clinical observations.

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Solitaire FR device for treatment of dural sinus thrombosis

Cited by 10 publications

References 22 publications

Rescue N-butyl-2 cyanoacrylate embolectomy using a Solitaire FR device after venous glue migration during arteriovenous malformation embolization: technical note

Rescue N-butyl-2 cyanoacrylate embolectomy using a Solitaire FR device after venous glue migration during arteriovenous malformation embolization: technical note

Superior gluteal artery injury risk from third sacral segment transsacral screw insertion

Endovascular treatments for cerebral venous sinus thrombosis

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