Hello
Difficult IR case:
Catheterized:
RT ICA 36217
LT ICA 36216
W/ 75671-26
LT INT JUG vein
36012 75680-26
LT TSV Sinus
36012 75870-26
Full detail S&I images
Vessel Tx:
LT TSV / Sigmoid sinuses
Vascular access was gained by single-wall puncture of the LT FV & RT CFA. Verapamil 10 mg IA were infused in the cervical RICA due to catheter-induced spasm. Venous pressures were obtained in the LT CFV. Cordis could not be tracked into the LT sigmoid sinus due to stiffness, therefore it was removed and the 6f short sheath exchanged for 6f 90 cm Cook shuttle, the tip which was situated in the LT Jugular bulb. An SL-10 microcatheter and Synchro2 Standard was insufficient for venous pressure measurement. SS catheterzation of the LT TSV was the performed & venous manometry performed at multiple locations in the LT TSV & Sigmoid sinuses. Due to a large pressure gradient (34 mm Hg) across the LT TSV stenosis.
[end of Part 1
Thanks!
Tawana