Intravascular ultrasound in the evaluation and management of cerebral venous disease

Maxim Mokin, Peter Kan, Adib A. Abla, Tareq Kass-Hout, Kenneth V. Snyder, Elad I. Levy, Adnan H. Siddiqui

Research output: Contribution to journalReview article

Abstract

Background: Intravascular ultrasound (IVUS) is an important diagnostic tool in many interventions, particularly coronary and carotid artery angioplasty and stenting. In contrast, its application in the management of diseases of the cerebral venous system remains an unexplored territory. We report three patients in whom IVUS was used during angiography for the evaluation of venous flow obstruction secondary to venous sinus thrombosis, venous sinus stenosis, and a transverse sinus mass lesion, respectively. In addition, we review current literature to summarize previous experience, focusing on the advantages and limitations of IVUS technology in interventional cardiology, carotid artery disease, and venous disease. Case Descriptions: In all three cases, IVUS was used without any complications and provided critical information that guided further management of these distinct diseases. IVUS helped diagnose the presence of intraluminal thrombus, severe stenosis, and a mass lesion in the transverse sinuses and also helped assess the response to angioplasty of the stenotic regions. Conclusions: IVUS is a promising tool that has potential to improve diagnostic accuracy and to guide the management of several diseases of the cerebral venous system. The cases we describe suggest that IVUS can be successfully used when performing endovascular interventions in patients with obstruction of venous outflow secondary to venous sinus stenosis, thrombosis, or mass lesions.

Original languageEnglish (US)
Pages (from-to)655.e7-655.e13
JournalWorld Neurosurgery
Volume80
Issue number5
DOIs
StatePublished - Nov 2013

Keywords

  • Cerebral venous stenosis
  • Cerebral venous thrombosis
  • Intravascular ultrasound imaging
  • Venous flow obstruction

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

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  • Cite this

    Mokin, M., Kan, P., Abla, A. A., Kass-Hout, T., Snyder, K. V., Levy, E. I., & Siddiqui, A. H. (2013). Intravascular ultrasound in the evaluation and management of cerebral venous disease. World Neurosurgery, 80(5), 655.e7-655.e13. https://doi.org/10.1016/j.wneu.2012.04.004