Superior sagittal sinus-to-internal jugular vein bypass shunt with covered stent construct for intractable intracranial hypertension resulting from iatrogenic supratorcular sinus occlusion: technical note

2021 ◽  
Author(s):  
Mithun G. Sattur ◽  
Elizabeth A. Genovese ◽  
Aimee Weber ◽  
Jaime Martinez Santos ◽  
Orgest M. Lajthia ◽  
...  
Keyword(s):  
Intracranial Hypertension ◽  
Internal Jugular Vein ◽  
Superior Sagittal Sinus ◽  
Jugular Vein ◽  
Covered Stent ◽  
Technical Note ◽  
Sagittal Sinus ◽  
Vein Bypass

Superior sagittal sinus thrombosis complicating neck dissection

2010 ◽  
Vol 124 (10) ◽  
pp. 1126-1128
Author(s):  
D J Howe ◽  
M J Henderson ◽  
I Ahmad
Keyword(s):  
Neck Dissection ◽  
Internal Jugular Vein ◽  
Superior Sagittal Sinus ◽  
Jugular Vein ◽  
Sinus Thrombosis ◽  
Rare Complication ◽  
Elective Neck Dissection ◽  
Sagittal Sinus ◽  
Sagittal Sinus Thrombosis ◽  
Superior Sagittal Sinus Thrombosis

AbstractObjective:To report a superior sagittal sinus thrombosis occurring as a rare complication of neck dissection, and to present a review of published literature.Case report:A 42-year-old man underwent an elective neck dissection for a tumour stage 2, node stage 2b, tonsillar squamous cell carcinoma, prior to chemoradiotherapy. During surgery, the right internal jugular vein was sacrificed as part of the resection, as tumour was adherent to it. Two weeks after surgery, the patient was readmitted with seizures. Subsequent computed tomography and magnetic resonance venography confirmed a superior sagittal sinus thrombosis. The patient was subsequently anticoagulated and underwent radiotherapy without further complication. A review of pre-operative imaging indicated a dominant internal jugular vein, ligation of which may have been a factor in the subsequent sagittal sinus thrombosis.Conclusion:Superior sagittal sinus thrombosis following neck dissection is a rare occurrence, with little reported in the literature. Dominant internal jugular vein anatomy may be evident on pre-operative imaging. An awareness of this complication may be helpful to surgeons contemplating sacrifice of the internal jugular vein.

scholarly journals Cranial venous sinus dominance: what to expect? Analysis of 100 cerebral angiographies

2017 ◽  
Vol 75 (5) ◽  
pp. 295-300 ◽  
Author(s):  
Matheus Augusto Pinto Kitamura ◽  
Leonardo Ferraz Costa ◽  
Danilo Otávio de Araújo Silva ◽  
Laécio Leitão Batista ◽  
Maurus Marques de Almeida Holanda ◽  
...  
Keyword(s):  
Internal Jugular Vein ◽  
Superior Sagittal Sinus ◽  
Jugular Vein ◽  
Transverse Sinus ◽  
Sigmoid Sinus ◽  
Venous Sinuses ◽  
Sagittal Sinus ◽  
Cranial Venous Sinuses ◽  
And Gender ◽  
Dominance Pattern

ABSTRACT We report an analysis of the cranial venous sinuses circulation, emphasizing morphological and angiographic characteristics. Methods Data of 100 cerebral angiographies were retrospectively analyzed (p = 0.05). Results Mean age was 56.3 years, 62% female and 38% male. Measurements and dominance are shown in the Tables. There was no association between age or gender and dominance. Right parasagittal division of the superior sagittal sinus was associated with right dominance of the transverse sinus, sigmoid sinus and internal jugular vein; and left parasagittal division of the superior sagittal sinus was associated with left dominance of the transverse sinus, sigmoid sinus and internal jugular vein. Conclusion A dominance pattern of cranial venous sinuses was found. Age and gender did not influence this pattern. Angiographic findings, such as division of the superior sagittal sinus, were associated with a pattern of cranial venous dominance. We hope this article can add information and assist in preoperative venous analysis for neurosurgeons and neuroradiologists.

Minimally Invasive Echo-Guided Placement Of The Cardiac Tube In A Ventriculoatrial Shunt During Pregnancy: Technical Note

2007 ◽  
Vol 61 (suppl_5) ◽  
pp. ONSE398-ONSE398
Author(s):  
Licia Di Muro ◽  
Roberto Pallini ◽  
Domenico Pietrini ◽  
Christian Colizzi ◽  
Luca Denaro
Keyword(s):  
Minimally Invasive ◽  
Internal Jugular Vein ◽  
Right Atrium ◽  
Jugular Vein ◽  
Technical Note ◽  
Invasive Technique ◽  
Success Rates ◽  
Ventriculoatrial Shunt ◽  
Simple Method ◽  
Sonographic Guidance

Abstract Objective: We describe a minimally invasive echo-guided placement of the cardiac tube in a ventriculoatrial shunt in a young pregnant woman, in order to avoid any radiological procedure. Methods: We used a central venous catheter placement kit for percutaneous echo-guided right internal jugular vein puncture located by a 7.5 mHz microlinear probe. Through the catheter, the distal portion of the shunt device was positioned into the internal jugular vein to the right atrium using ultrasound control by a 2.5 to 3.5 mHz probe in a four-chamber transthoracic view. Results: Sonographic guidance in percutaneous placement of a vertebral artery shunt is a safe and fast minimally invasive technique that improves success rates and decreases complications such as incidental puncture of the carotid artery and pneumothorax. The use of a two-dimensional echocardiographic apparatus in a four-chamber transthoracic view is an accurate and simple method to verify the position of the distal tip of the shunt in the mid-right atrium with no risks for the patient. Conclusion: The use of these two techniques allows a minimally invasive, safe, accurate, and complete x-ray-free procedure.

scholarly journals Management of inadvertent injury to superior sagittal sinus in parasagittal meningioma: technical note

2015 ◽  
Vol 42 (S1) ◽  
pp. S43-S43
Author(s):  
AA Ahmed ◽  
B Yarascavitch ◽  
N Murty
Keyword(s):  
Surgical Resection ◽  
Superior Sagittal Sinus ◽  
Lateral Wall ◽  
Technical Note ◽  
Venous Sinus ◽  
Sagittal Sinus ◽  
Sinus Wall ◽  
Venous Wall ◽  
Parasagittal Meningioma ◽  
Tamponade Effect

Background: Parasagittal meningioma is a common type of intracranial meningiomas. Surgical resection of such lesions can result in injury to superior sagittal sinus. In rare occasions, extended craniotomy might be required for uncontrollable hemorrhage from a lacerated venous wall. Objective: In order to avoid extended craniotomy, we attempted a surgical technique that would provide more sustained control over the lacerated venous sinus. Method: A 56 year old lady underwent surgical resection for parasagittal meningioma. The lateral wall of the superior sagittal sinus was preached while scraping the tumor capsule from the sinus wall. Owing to difficulty in controlling the bleeding site, a tack up falx-assisted tension suture was attempted with a mass of Gelfoam and Surgicel over the laceration. Results: Adequate control for the venous sinus laceration. Conclusion: The falx-assisted suturing technique is quick, easy to perform and efficient in maintaining a constant tamponade effect over the lacerated site. We highly recommend such technique prior to extending the craniotomy over an injured venous sinus.

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