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

Publication ,  Journal Article
Blackburn, SL; Swisher, CB; Grande, AW; Rubi, A; Verbick, LZ; McCabe, A; Lad, SP
Published in: Oper Neurosurg (Hagerstown)
May 1, 2019

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.

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Published In

Oper Neurosurg (Hagerstown)

DOI

EISSN

2332-4260

Publication Date

May 1, 2019

Volume

16

Issue

5

Start / End Page

E148 / E153

Location

United States

Related Subject Headings

  • Ventriculostomy
  • Subarachnoid Hemorrhage
  • Intracranial Aneurysm
  • Humans
  • Follow-Up Studies
  • Female
  • Embolization, Therapeutic
  • Catheters
  • Blood Component Removal
  • Aneurysm, Ruptured
 

Citation

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Blackburn, S. L., Swisher, C. B., Grande, A. W., Rubi, A., Verbick, L. Z., McCabe, A., & Lad, S. P. (2019). Novel Dual Lumen Catheter and Filtration Device for Removal of Subarachnoid hemorrhage: First Case Report. Oper Neurosurg (Hagerstown), 16(5), E148–E153. https://doi.org/10.1093/ons/opy151
Blackburn, Spiros L., Christa B. Swisher, Andrew W. Grande, Alba Rubi, Laura Zitella Verbick, Aaron McCabe, and Shivanand P. Lad. “Novel Dual Lumen Catheter and Filtration Device for Removal of Subarachnoid hemorrhage: First Case Report.Oper Neurosurg (Hagerstown) 16, no. 5 (May 1, 2019): E148–53. https://doi.org/10.1093/ons/opy151.
Blackburn SL, Swisher CB, Grande AW, Rubi A, Verbick LZ, McCabe A, et al. Novel Dual Lumen Catheter and Filtration Device for Removal of Subarachnoid hemorrhage: First Case Report. Oper Neurosurg (Hagerstown). 2019 May 1;16(5):E148–53.
Blackburn, Spiros L., et al. “Novel Dual Lumen Catheter and Filtration Device for Removal of Subarachnoid hemorrhage: First Case Report.Oper Neurosurg (Hagerstown), vol. 16, no. 5, May 2019, pp. E148–53. Pubmed, doi:10.1093/ons/opy151.
Blackburn SL, Swisher CB, Grande AW, Rubi A, Verbick LZ, McCabe A, Lad SP. Novel Dual Lumen Catheter and Filtration Device for Removal of Subarachnoid hemorrhage: First Case Report. Oper Neurosurg (Hagerstown). 2019 May 1;16(5):E148–E153.
Journal cover image

Published In

Oper Neurosurg (Hagerstown)

DOI

EISSN

2332-4260

Publication Date

May 1, 2019

Volume

16

Issue

5

Start / End Page

E148 / E153

Location

United States

Related Subject Headings

  • Ventriculostomy
  • Subarachnoid Hemorrhage
  • Intracranial Aneurysm
  • Humans
  • Follow-Up Studies
  • Female
  • Embolization, Therapeutic
  • Catheters
  • Blood Component Removal
  • Aneurysm, Ruptured