Novel Dual Lumen Catheter and Filtration Device for Removal of Subarachnoid hemorrhage: First Case Report

被引：11

作者：

Sekhar, Laligam N.

Mooney, Michael

Nakaji, Peter

Bulsara, Ketan R.

机构：

[1] Department of Neurosurgery, University of Texas Health Sciences Center at Houston, 6400 Fannin St, Houston, 77030, TX

[2] Department of Neurology, Duke University Medical Center, Durham, NC

[3] Department of Neurosurgery, University of Minnesota, Minneapolis, MN

[4] Minnetronix Inc, St. Paul, MN

[5] Department of Neurosurgery, Duke University Medical Center, Durham, NC

来源：

OPERATIVE NEUROSURGERY | 2019年 / 16卷 / 05期

关键词：

Aneurysm; Cerebrospinal fluid filtration; Lumbar drain; Neurapheresis; Subarachnoid hemorrhage;

D O I：

10.1093/ons/opy151

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

BACKGROUND AND IMPORTANCE: The amount of subarachnoid blood and the presence of toxic blood breakdown products in the cerebrospinal fluid (CSF) have long been associated with poor outcomes in aneurysmal subarachnoid hemorrhage. The Neurapheresis™ system (Minnetronix Inc, St. Paul, Minnesota) has been developed to filter CSF and remove blood products, and is being investigated for safety and feasibility in the ExtracorPoreal FILtration of subarachnoid hemorrhage via SpinaL CAtheteR (PILLAR) study. We report the first case using this novel device. CLINICAL PRESENTATION: A 65-yr-old female presented with a ruptured left posterior communicating artery aneurysm. Following placement of a ventriculostomy and coil embolization of her aneurysm, the patient underwent placement of a lumbar dual lumen catheter for CSF filtration as part of the PILLAR study. In this case, a total of 9 h of filtration during 31 h of catheter indwelling resulted in 309.47 mL of processed CSF without complication. Computed tomography images demonstrated an interval reduction of subarachnoid hemorrhage immediately after filtration. The patient was discharged home on postbleed day 11 and at 30 d showed good recovery. CONCLUSION: Safety of the Neurapheresis procedure was confirmed in this first case, and we will continue to evaluate safety of the Neurapheresis system through the PILLAR trial. Copyright © 2018 by the Congress of Neurological Surgeons.

引用

页码：E152 / E153

页数：2

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