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Venous sinus stenting

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https://www.readbyqxmd.com/read/27886896/venous-sinus-stenting-for-idiopathic-intracranial-hypertension-where-are-we-now
#1
REVIEW
Marc J Dinkin, Athos Patsalides
Idiopathic intracranial hypertension causes headache, papilledema and visual field loss, typically in obese women of childbearing age. Its anatomical underpinnings remain unclear, but a stenosis at the junction of the transverse and sigmoid sinuses has been recognized in the majority of patients through venography. The stenosis may result from intrinsic dural sinus anatomy or extrinsic compression by increased intracranial pressure, but in either case, its stenting has been shown to lead to an improvement in symptoms of intracranial hypertension and papilledema in multiple retrospective, non-controlled studies...
February 2017: Neurologic Clinics
https://www.readbyqxmd.com/read/27831483/patency-and-clinical-outcomes-of-a-dedicated-self-expanding-hybrid-oblique-stent-used-in-the-treatment-of-common-iliac-vein-compression
#2
Anna K Stuck, Samuel Kunz, Iris Baumgartner, Nils Kucher
PURPOSE: To investigate the clinical outcomes of a dedicated hybrid oblique nitinol stent that has been specifically designed to treat common iliac vein compression. METHODS: The Bern Venous Stent Registry database was interrogated to identify all patients who had at least 6-month follow-up after treatment with the sinus-Obliquus hybrid stent for common iliac vein compression. The search identified 24 patients (mean age 39±18 years; 20 women) who matched the search criteria...
November 9, 2016: Journal of Endovascular Therapy
https://www.readbyqxmd.com/read/27830325/efficacy-complications-and-cost-of-surgical-interventions-for-idiopathic-intracranial-hypertension-a-systematic-review-of-the-literature
#3
REVIEW
Aristotelis V Kalyvas, Mark Hughes, Christos Koutsarnakis, Demetrios Moris, Faidon Liakos, Damianos E Sakas, George Stranjalis, Ioannis Fouyas
BACKGROUND: To define the efficacy, complication profile and cost of surgical options for treating idiopathic intracranial hypertension (IIH) with respect to the following endpoints: vision and headache improvement, normal CSF pressure restoration, papilloedema resolution, relapse rate, operative complications, cost of intervention and quality of life. METHODS: A systematic review of the surgical treatment of IIH was carried out. Cochrane Library, MEDLINE and EMBASE databases were systematically searched from 1985 to 2014 to identify all relevant manuscripts written in English...
November 9, 2016: Acta Neurochirurgica
https://www.readbyqxmd.com/read/27829971/concurrent-angioplasty-balloon-placement-for-stent-delivery-through-jugular-venous-bulb-for-treating-cerebral-venous-sinus-stenosis-technical-report
#4
Adnan I Qureshi, Asif A Khan, Rachel Capistrant, Mushtaq H Qureshi, Kevin Xie, M Fareed K Suri
OBJECTIVE: To report upon technique of concurrent placement of angioplasty balloon at the internal jugular vein and sigmoid venous sinus junction to facilitate stent delivery in two patients in whom stent delivery past the jugular bulb was not possible. CLINICAL PRESENTATION: A 21-year-old woman and a 41-year-old woman with worsening headaches, visual obscuration or diplopia were treated for pseudotumor cerebri associated with transverse venous stenosis. Both patients had undergone primary angioplasty, which resulted in improvement in clinical symptoms followed by the recurrence of symptoms with restenosis at the site of angioplasty...
October 2016: Journal of Vascular and Interventional Neurology
https://www.readbyqxmd.com/read/27798328/cerebral-venous-sinuses-thrombosis-in-both-transverse-sinus-and-torcula-multistep-endovascular-treatment-and-stenting
#5
G Cabral de Andrade, A Lesczynsky, V M Clímaco, E R Pereira, P O Marcelino, Aoc Franco, D F De Almeida
PURPOSE: Cerebral venous sinus thrombosis (CVST) is an unusual and potentially life-threatening condition with variable and nonspecific clinical symptoms and high morbimortality rates. Standard therapy consists of systemic anticoagulation; although there is no clear evidence about the best choice for treatment, intravenous heparin is used as the first-line treatment modality. Intravenous sinus thrombolysis can be an effective and relatively safe treatment for acutely deteriorating patients who have not responded to conventional therapy...
October 26, 2016: Interventional Neuroradiology
https://www.readbyqxmd.com/read/27796449/endovascular-treatment-of-carotico-cavernous-fistulas-with-acrylic-glue-a-series-of-nine-cases
#6
Marcus Ohlsson, Arturo Consoli, Georges Rodesch
INTRODUCTION: Injuries to the internal carotid artery close to the cavernous sinus may result in a fistulous connection between the artery and the venous sinus. Symptoms include pulsatile tinnitus, intracranial bruit, ophthalmological symptoms, and risk of intracerebral hematoma in cases of cortical venous reflux. Previous treatment strategies have included detachable latex balloons, coils, covered stents, or combinations thereof. Today, detachable latex balloons are phased out or withdrawn from several markets...
October 29, 2016: Neuroradiology
https://www.readbyqxmd.com/read/27768690/resolution-of-pulsatile-tinnitus-after-venous-sinus-stenting-in-patients-with-idiopathic-intracranial-hypertension
#7
Srikanth Boddu, Marc Dinkin, Maria Suurna, Kelly Hannsgen, Xem Bui, Athos Patsalides
OBJECTIVE: Evaluate the role of venous sinus stenting in the treatment of pulsatile tinnitus among patients with Idiopathic Intracranial Hypertension (IIH) and significant venous sinus stenosis. SUBJECTS AND METHODS: A written informed consent approved by the Weill Cornell institutional review board was signed and obtained from the study participants. Thirty-seven consecutive patients with IIH and venous sinus stenosis who were treated with venous sinus stenting between Jan...
2016: PloS One
https://www.readbyqxmd.com/read/27765737/quantifying-the-cerebral-hemodynamics-of-dural-arteriovenous-fistula-in-transverse-sigmoid-sinus-complicated-by-sinus-stenosis-a-retrospective-cohort-study
#8
W-Y Guo, C-C J Lee, C-J Lin, H-C Yang, H-M Wu, C-C Wu, W-Y Chung, K-D Liu
BACKGROUND AND PURPOSE: Sinus stenosis occasionally occurs in dural arteriovenous fistulas. Sinus stenosis impedes venous outflow and aggravates intracranial hypertension by reversing cortical venous drainage. This study aimed to analyze the likelihood of sinus stenosis and its impact on cerebral hemodynamics of various types of dural arteriovenous fistulas. MATERIALS AND METHODS: Forty-three cases of dural arteriovenous fistula in the transverse-sigmoid sinus were reviewed and divided into 3 groups: Cognard type I, type IIa, and types with cortical venous drainage...
October 20, 2016: AJNR. American Journal of Neuroradiology
https://www.readbyqxmd.com/read/27690252/octreotide-the-iih-therapy-beyond-weight-loss-carbonic-anhydrase-inhibitors-lumbar-punctures-and-surgical-interventional-treatments
#9
Patrick M House, Stefan R G Stodieck
OBJECTIVE: Idiopathic intracranial hypertension (IIH) is characterized by elevated intracranial pressure without a space-occupying cerebral lesion, venous sinus thrombosis or hydrocephalus and with normally composited cerebrospinal fluid (CSF). Main symptoms are headache, sight disturbances and potential visual impairment. Weight loss, carbonic anhydrase inhibitors, lumbar punctures with CSF drain, CSF shunting, optic nerve sheath fenestration, and venous sinus stenting are common IIH therapies...
November 2016: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/27651872/treatment-of-the-superior-sagittal-sinus-thrombosis-with-the-mechanical-thrombectomy-using-stent-retriever-device
#10
Hoon Kim, Seong Rim Kim, Ik Seong Park, Young Woo Kim
Cerebral venous sinus thrombosisis an uncommon entity and its clinical presentations are highly variable. We present the case of superior sagittal sinus thrombosis. Although it was medical refractory, successfully treated with mechanical thrombectomy using the Solitaire FR device. A 27-year-old man who presented with venous infarction accompanied by petechial hemorrhage secondary to the superior sagittal sinus (SSS) thrombosis. Due to rapid deterioration despite of anticoagulation therapy, the patient was taken for endovascular treatment...
September 2016: Journal of Korean Neurosurgical Society
https://www.readbyqxmd.com/read/27634954/comparison-of-venous-sinus-manometry-gradients-obtained-while-awake-and-under-general-anesthesia-before-venous-sinus-stenting
#11
Kyle M Fargen, Alejandro M Spiotta, Madison Hyer, Jonathan Lena, Raymond D Turner, Aquilla S Turk, Imran Chaudry
INTRODUCTION: Venous sinus stenting is a popular treatment strategy for patients with high venous sinus pressure gradients across a site of outflow obstruction. Little is known about the effect of anesthesia on venous sinus pressure measurements. OBJECTIVE: To compare venous manometry performed in patients under general anesthesia and while awake. METHODS: A prospective database was accessed to retrospectively identify patients who had undergone venous sinus stenting...
September 15, 2016: Journal of Neurointerventional Surgery
https://www.readbyqxmd.com/read/27625527/unusual-method-of-creation-of-a-transcatheter-fenestration-in-an-extracardiac-conduit-fontan-circulation
#12
Anil K Singhi, Sivakumar Kothandum
Failing Fontan physiology in univentricular hearts manifest with protein-losing enteropathy, plastic bronchitis, low cardiac output, and recurrent effusions. Transcatheter creation of fenestration in a failing Fontan may be useful in alleviating the symptoms by improving the cardiac output. It is traditionally achieved by puncturing through the conduit from femoral or jugular venous access. In the absence of good venous path, transhepatic access provides a direct route for needle puncture of the conduit. If marked intimal ingrowth into the conduit results in increasing rigidity and makes the conduit nonyielding, alternative approaches may be needed...
September 2016: Annals of Pediatric Cardiology
https://www.readbyqxmd.com/read/27610124/endovascular-management-of-sigmoid-sinus-diverticulum
#13
Srinivasan Paramasivam, Sunil Furtado, Tomoyoshi Shigamatsu, Eric Smouha
Sigmoid sinus diverticulum (SSD) is a rare vascular disorder due to dehiscence of the sigmoid plate. It may be associated with prediverticular venous sinus stenosis (SS) and usually presents as pulsatile tinnitus. The mechanism of development of the SSD and tinnitus from a sinus diverticulum and associated SS is unclear. Previous case reports have suggested that remodeling of the venous system targeting the stenosis, elimination of the diverticulum, or both, have resulted in symptom relief. We present a case of SSD with SS, treated by stenting of the stenosis along with coil embolization of the diverticulum, resulting in complete relief of symptoms...
June 2016: Interventional Neurology
https://www.readbyqxmd.com/read/27585210/venous-sinus-stenting-in-idiopathic-intracranial-hypertension-a-safer-surgical-approach
#14
Sona Chaudhry, Tara K Bryant, Crandall E Peeler
PURPOSE OF REVIEW: The purpose is to summarize treatment strategies in idiopathic intracranial hypertension (IIH), a potentially sight-threatening disease, with a focus on the most current outcome data for venous sinus stenting. RECENT FINDINGS: Historically, the primary treatment options for medically refractory IIH consisted of either optic nerve sheath fenestration or cerebrospinal fluid diversion procedures. The visual outcomes of these procedures are favorable, though they tend to be associated with a high rate of complication and failure...
November 2016: Current Opinion in Ophthalmology
https://www.readbyqxmd.com/read/27556959/venous-sinus-stenting-in-idiopathic-intracranial-hypertension-results-of-a-prospective-trial
#15
Marc J Dinkin, Athos Patsalides
BACKGROUND: Our goal was to evaluate the safety and efficacy of stenting of venous sinus stenosis (VSS) in patients with medically-refractory, medically-intolerant or fulminant idiopathic intracranial hypertension (IIH) in a prospective, observational study. METHODS: Thirteen patients with IIH who were refractory or intolerant to medical therapy or who presented with fulminant visual field (VF) loss underwent stenting of VSS at the transverse-sinus sigmoid sinus junction, using a Precise Pro carotid stent system (Cordis)...
August 23, 2016: Journal of Neuro-ophthalmology: the Official Journal of the North American Neuro-Ophthalmology Society
https://www.readbyqxmd.com/read/27535922/a-case-of-stenting-for-acute-cerebral-venous-sinus-thrombosis-in-the-superior-sagittal-sinus
#16
Naoki Matsumoto, Yoji Kuramoto, Narihide Shinoda, Yasushi Ueno
No abstract text is available yet for this article.
August 17, 2016: Interventional Neuroradiology
https://www.readbyqxmd.com/read/27496529/new-frontiers-in-venous-sinus-stenting-illustrative-cases
#17
Bradley A Gross, Felipe C Albuquerque, Karam Moon, Cameron G McDougall
Idiopathic intracranial hypertension (IIH) occurs rarely, with severe patients recalcitrant to pharmacologic management often requiring cerebrospinal fluid diversion. We report two patients with variant IIH successfully treated with venous sinus stenting: 1) A 65-year-old man with severe vision loss, papilledema, and cognitive decline treated with four telescoped stents across a long, severely stenotic transverse-sigmoid system, and 2) a 58-year-old woman with headaches, vision loss, and papilledema secondary to a jugular paraganglioma causing severe jugular bulb stenosis that required contralateral venous sinus stenting...
November 2016: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
https://www.readbyqxmd.com/read/27400113/stent-assisted-coil-embolization-of-a-transverse-sigmoid-sinus-diverticulum-presenting-with-pulsatile-tinnitus
#18
Baomin Li, Xianli Lv, Zhongxue Wu, Xiangyu Cao, Jun Wang, Aili Ge, Xinfeng Liu, Sheng Li
When tinnitus is pulse-synchronous, a vascular etiology is suggested. We present a case of persistent and troublesome pulsatile tinnitus caused by a transverse-sigmoid sinus diverticulum that was endovascularly treated with stent-assisted coiling. A 39-yearold woman presented with a 4-year history of progressive pulsatile tinnitus involving the right ear. Slight pulsatile bruit was heard on the right mastoid bone by auscultation. Cerebral angiography demonstrated a diverticulum of the transverse-sigmoid sinus...
2016: Turkish Neurosurgery
https://www.readbyqxmd.com/read/27391919/use-of-a-contoured-bioresorbable-plate-with-a-hemostatic-plug-to-control-life-threatening-bleeding-from-the-superior-sagittal-sinus-during-hemispherotomy-technical-note
#19
Gerald F Tuite, Carolyn M Carey, William W Nelson, Scott J Raffa, S Parrish Winesett
Profuse bleeding originating from an injured cerebral sinus can be a harrowing experience for any surgeon, particularly during an operation on a young child. Common surgical remedies include sinus ligation, primary repair, placement of a hemostatic plug, and patch or venous grafting that may require temporary stenting. In this paper the authors describe the use of a contoured bioresorbable plate to hold a hemostatic plug in place along a tear in the inferomedial portion of a relatively inaccessible part of the posterior segment of the superior sagittal sinus in an 11-kg infant undergoing hemispherotomy for epilepsy...
July 8, 2016: Journal of Neurosurgery. Pediatrics
https://www.readbyqxmd.com/read/27349391/occult-pulsatile-tinnitus-in-association-with-a-prominent-vein-of-hypoglossal-canal-two-case-reports
#20
Li Baomin, Lv Xianli, Wu Zhongxue, Cao Xiangyu, Wang Jun, Ge Aili, Liu Xinfeng, Li Sheng
The pathway of the vein of hypoglossal canal has not been mentioned in venous origin pulsatile tinnitus. We wished to clarify the possible complications related to this venous variant. We describe 2 rare cases of troublesome pulsatile tinnitus associated with prominent vein of hypoglossal canal, which communicates with the jugular bulb and the marginal sinus. Both cases were successfully treated by positioning a stent across the vein of hypoglossal canal and jugular bulb. To our knowledge, the 2 present clinical cases represent the first report of such a condition...
July 20, 2014: Turkish Neurosurgery
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