The use of balloon guide catheters during venous sinus stenting: A case series.

IF 1.7 4区医学 Q3 Medicine

Interventional Neuroradiology Pub Date : 2024-10-14 DOI:10.1177/15910199241289458

Justin Turpin, Timothy G White, Daniel Toscano, Siddharth Dalal, Miriam M Shao, Shyle H Mehta, Jared B Bassett, Kevin A Shah, Athos Patsalides

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引用次数: 0

Abstract

Background: Venous sinus stenting (VSS) is a safe and effective treatment strategy for pulsatile tinnitus (PT) and idiopathic intracranial hypertension (IIH). Although complications are rare, the morbidity associated with the complications is high. Navigating through the venous sinuses poses unique challenges to the interventionalist. There is limited literature regarding device selection to maximize safety and efficiency. We report on the safety and advantages of using a balloon guide catheter (BGC) for venous access in VSS.

Methods: Retrospective analysis of all patients undergoing VSS using a BGC over a three-month period.

Results: A total of 22 patients were included in the analysis (median age 35; 21 female). The indication for treatment was PT in 10 patients and IIH in 12 patients. The BGC was navigated into the sigmoid and transverse sinuses, enabling successful delivery of the stent in all cases. The BGC balloon was inflated 23 times for navigating past tortuosity or obstructions, and for anchoring. There were no intraprocedural complications.

Conclusions: The use of BGC in VSS is safe and feasible. BGCs have features that can be utilized to overcome the unique challenges encountered during VSS.

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静脉窦支架术中球囊导引导管的使用：病例系列。

背景：静脉窦支架植入术（VSS）是治疗搏动性耳鸣（PT）和特发性颅内高压（IIH）的一种安全有效的方法。虽然并发症很少见，但与并发症相关的发病率却很高。通过静脉窦进行导航给介入医师带来了独特的挑战。关于如何选择设备以最大限度地提高安全性和效率的文献十分有限。我们报告了在 VSS 中使用球囊导引导管（BGC）进行静脉通路的安全性和优势：方法：对三个月内使用 BGC 进行 VSS 手术的所有患者进行回顾性分析：共有 22 名患者纳入分析（中位年龄 35 岁；21 名女性）。10名患者的治疗适应症为PT，12名患者为IIH。BGC 经导航进入乙状窦和横窦，在所有病例中均能成功置入支架。BGC 球囊充气 23 次，用于穿过迂曲或阻塞以及锚定。术中未出现并发症：结论：在 VSS 中使用 BGC 安全可行。结论：在 VSS 中使用 BGC 是安全可行的。BGC 具有一些特点，可用于克服 VSS 中遇到的独特挑战。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Interventional Neuroradiology 医学-核医学

CiteScore

2.80

自引率

11.80%

发文量

192

审稿时长

6-12 weeks

期刊介绍： Interventional Neuroradiology (INR) is a peer-reviewed clinical practice journal documenting the current state of interventional neuroradiology worldwide. INR publishes original clinical observations, descriptions of new techniques or procedures, case reports, and articles on the ethical and social aspects of related health care. Original research published in INR is related to the practice of interventional neuroradiology...