Turpin Justin, White Timothy G, Toscano Daniel, Dalal Siddharth, Shao Miriam M, Mehta Shyle H, Bassett Jared B, Shah Kevin A, Patsalides Athos
Department of Neurosurgery, North Shore University Hospital/Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Manhasset, NY, USA.
Department of Neurology, North Shore University Hospital/Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Manhasset, NY, USA.
Interv Neuroradiol. 2024 Dec;30(6):796-803. doi: 10.1177/15910199241289458. Epub 2024 Oct 14.
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.
Retrospective analysis of all patients undergoing VSS using a BGC over a three-month period.
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.
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.
静脉窦支架置入术（VSS）是治疗搏动性耳鸣（PT）和特发性颅内高压（IIH）的一种安全有效的治疗策略。尽管并发症罕见，但与之相关的发病率却很高。在静脉窦中操作对介入医生来说具有独特的挑战。关于选择能最大限度提高安全性和效率的器械的文献有限。我们报告了在VSS中使用球囊引导导管（BGC）进行静脉通路建立的安全性和优势。
对在三个月期间内所有使用BGC进行VSS的患者进行回顾性分析。
共有22例患者纳入分析（中位年龄35岁；21例女性）。治疗指征为10例PT患者和12例IIH患者。BGC被送入乙状窦和横窦，使得在所有病例中支架均能成功置入。BGC球囊共充气23次，用于绕过迂曲或梗阻部位以及进行锚定。术中无并发症发生。
在VSS中使用BGC是安全可行的。BGC具有一些特性，可用于克服VSS过程中遇到的独特挑战。
