Monitoring of intracranial pressure and cerebral hemodynamics by transjugular dural sinus catheterization

作者：Hu, Hao; Ge, Xiaoyan; Cai, Hongwei^*

来源：Journal of Clinical Anesthesia, 2014, 26(2): 147-148.

DOI：10.1016/j.jclinane.2013.11.006

• Cerebral hemodynamics
• Dural sinus
• Intracranial pressure
• Venous oxygen saturation

Cerebral venous sampling may be useful in the evaluation of cerebral damage. A catheter was successfully inserted 18 cm deep from the right internal jugular vein into the transverse sinus in a 38 year old man with B-mode ultrasound guidance to measure pressure and sample blood. Transverse sinus venous oxygen saturation (StvO(2)) was lower than normal ranges (55% - 75%) for jugular venous oxygen saturation (SjvO(2)). At the time spontaneous cardiac rhythm was restored, transverse sinus pressure increased briefly to 26 mmHg [more than 15 mmHg higher than normal intracranial pressure (ICP)]. This case suggests that catheterization of the dural sinus may be accomplished with B-mode ultrasound guidance and that the catheter can be used to monitor ICP and cerebral hemodynamics.

• 出版日期2014-3
• 单位中南大学