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AJNR - American Journal of Neuroradiology

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American Journal of Neuroradiology 26:179-182, January 2005
© 2005 American Society of Neuroradiology

Technical Note
INTERVENTIONAL

Hemodynamic Evaluation during Balloon Test Occlusion of the Sigmoid Sinus: Clinical and Technical Considerations

Ulrike Ernemann^a, Hubert Löwenheim^a, Dirk Freudenstein^a, Andrei Koerbel^a, Alexandra Heininger^c and Marcos Tatagiba^a

^a Department of Neuroradiology, University Hospital Tübingen, Germany
^b Department of Otolaryngology-Head and Neck Surgery, University Hospital Tübingen, Germany
^c Department of Neurosurgery, University Hospital Tübingen, Germany
^d Department of Anesthesiology, University Hospital Tübingen, Germany

Address reprint requests to Ulrike Ernemann, MD, PhD, Department of Neuroradiology, University Hospital Tübingen, Hoppe-Seyler-Strasse 3, 72076 Tübingen, Germany

Summary: Test occlusion of a patent dural sinus requires careful hemodynamic evaluation. We performed balloon test occlusion of the sigmoid sinus in a patient with an advanced-stage temporal bone malignancy that affected the dominant sigmoid sinus. Before and during the test occlusion, intrasinus pressure was monitored upstream from the balloon via the inner lumen of a double-lumen angioplasty balloon microcatheter. On the basis of the hemodynamic findings, permanent balloon occlusion was carried out without complications.