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.
authors: Department of Neurological Surgery, Northwestern University, Feinberg School of Medicine, Suite 2210, 676 N. St. Clair, Chicago, IL 60611, USA.
authors: Najib E
authors: NE
authors: El Tecle
authors: Department of Radiology, Northwestern Memorial Hospital, Feinberg School of Medicine, Chicago, IL, USA.
authors: Biraj M
authors: BM
authors: Patel
authors: Department of Neurological Surgery, Northwestern University, Feinberg School of Medicine, Suite 2210, 676 N. St. Clair, Chicago, IL 60611, USA.
authors: Tarek Y
authors: TY
authors: El Ahmadieh
authors: Department of Neurological Surgery, Northwestern University, Feinberg School of Medicine, Suite 2210, 676 N. St. Clair, Chicago, IL 60611, USA.
authors: Marc R
authors: MR
authors: Daou
authors: Department of Neurological Surgery, Northwestern University, Feinberg School of Medicine, Suite 2210, 676 N. St. Clair, Chicago, IL 60611, USA.
authors: Youssef J
authors: YJ
authors: Hamade
authors: Department of Neurological Surgery, Northwestern University, Feinberg School of Medicine, Suite 2210, 676 N. St. Clair, Chicago, IL 60611, USA.
authors: Samer G
authors: SG
authors: Zammar
authors: Department of Radiology, Northwestern Memorial Hospital, Feinberg School of Medicine, Chicago, IL, USA.
authors: Ali
authors: A
authors: Shaibani
authors: Department of Neurological Surgery, Northwestern University, Feinberg School of Medicine, Suite 2210, 676 N. St. Clair, Chicago, IL 60611, USA; Department of Radiology, Northwestern Memorial Hospital, Feinberg School of Medicine, Chicago, IL, USA. Electronic address: bbendok@nmff.org.
authors: Bernard R
authors: BR
authors: Bendok
mesh_terms: D057785:Catheters; D057510:Endovascular Procedures / Q000295:instrumentation* / Q000379:methods; D005343:Fibrinolytic Agents / Q000008:administration & dosage*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012851:Sinus Thrombosis, Intracranial / Q000188:drug therapy*; D015912:Thrombolytic Therapy / Q000295:instrumentation*; D010959:Tissue Plasminogen Activator / Q000008:administration & dosage*
chemical_list: D005343:Fibrinolytic Agents; D010959:Tissue Plasminogen Activator
keywords: Catheter; Double lumen balloon; Double lumen catheter; Endovascular neurosurgery; Thrombolysis; Venous sinus thrombolysis