Placement of a Catheter into the Transverse Sinus in Monitoring Intracranial Lesions: A Technical Note

Abstract

High intracranial pressure (ICP) can be induced by stroke, brain trauma, and brain tumor, and lead to cerebral injury. Monitoring the blood flow of a damaged brain is important for detecting intracranial lesions. Blood sampling is a better way to monitor changes in brain oxygen and blood flow than computed tomography perfusion and magnetic resonance imaging. This article describes how to take blood samples from the transverse sinus in a high ICP rat model. Also, it compares the blood samples from the transverse sinus and femoral artery/vein through blood gas analysis and neuronal cell staining. The findings may be of significance to the monitoring of the oxygen and blood flow of intracranial lesions.

Keywords

transverse sinus - catheterization - intracranial lesions - intracranial pressure

Publication History

Received: 02 April 2022

Accepted: 01 September 2022

Article published online:
16 February 2023

• References

• 1 Prodam F, Gasco V, Caputo M. et al. Metabolic alterations in patients who develop traumatic brain injury (TBI)-induced hypopituitarism. Growth Horm IGF Res 2013; 23 (04) 109-113
• 2 Faul M, Xu L, Wald MM. et al. Traumatic Brain Injury in the United States: National Estimates of Prevalence and Incidence, 2002–2006. Atlanta, GA: National Center for Injury Prevention and Control, CD; 2010
• 3 Flynn LM, Rhodes J, Andrews PJ. Therapeutic hypothermia reduces intracranial pressure and partial brain oxygen tension in patients with severe traumatic brain injury: preliminary data from the Eurotherm3235 trial. Ther Hypothermia Temp Manag 2015; 5 (03) 143-151
• 4 Yokota H, Yamamoto Y, Nakabayashi M. et al. Continuous Monitoring of Jugular Venous Oxygen Saturation in Neurosurgical Intensive Care Units. Tokyo: Springer; 1995
• 5 Parrilla G, Zamarro J, Díaz-Pérez J. Teaching NeuroImages: Complex transverse sinus fistula and cavernous sinus syndrome. Neurology 2018; 91 (16) e1551-e1552
• 6 Schmued LC, Albertson C, Slikker Jr W. Fluoro-Jade: a novel fluorochrome for the sensitive and reliable histochemical localization of neuronal degeneration. Brain Res 1997; 751 (01) 37-46
• 7 Schmued LC, Hopkins KJ, Fluoro-Jade B. Fluoro-Jade B: a high affinity fluorescent marker for the localization of neuronal degeneration. Brain Res 2000; 874 (02) 123-130
• 8 Kirkman MA, Smith M. Brain oxygenation monitoring. Anesthesiol Clin 2016; 34 (03) 537-556
• 9 Robertson CS, Grossman RG, Goodman JC, Narayan RK. The predictive value of cerebral anaerobic metabolism with cerebral infarction after head injury. J Neurosurg 1987; 67 (03) 361-368
• 10 Sheinberg M, Kanter MJ, Robertson CS, Contant CF, Narayan RK, Grossman RG. Continuous monitoring of jugular venous oxygen saturation in head-injured patients. J Neurosurg 1992; 76 (02) 212-217
• 11 Lammy S, Bhattacharya J, Dervin J, St George EJ. Trans-cranial embolisation of a complex transverse sigmoid sinus dural arteriovenous fistula by direct puncture of the superior sagittal sinus. Asian J Neurosurg 2018; 13 (03) 946-948
• 12 Honda M, Ichibayashi R, Suzuki G. et al. Consideration of the intracranial pressure threshold value for the initiation of traumatic brain injury treatment: a xenon CT and perfusion CT study. Neurocrit Care 2017; 27 (03) 308-315
• 13 Kampfl A, Pfausler B, Denchev D. et al. Near Infrared Spectroscopy (Nirs) in Patients with Severe Brain Injury and Elevated Intracranial Pressure. Vienna: Springer; 1997
• 14 Budohoski KP, Zweifel C, Kasprowicz M. et al. What comes first? The dynamics of cerebral oxygenation and blood flow in response to changes in arterial pressure and intracranial pressure after head injury. Br J Anaesth 2012; 108 (01) 89-99