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

Spiros L. Blackburn, Christa B. Swisher, Andrew W. Grande, Alba Rubi, Laura Zitella Verbick, Aaron McCabe, Shivanand P. Lad

Research output: Contribution to journalArticlepeer-review

10 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)E148-E153
JournalOperative Neurosurgery
Volume16
Issue number5
DOIs
StatePublished - May 1 2019

Bibliographical note

Publisher Copyright:
Copyright © 2018 by the Congress of Neurological Surgeons.

Keywords

  • Aneurysm
  • Cerebrospinal fluid filtration
  • Lumbar drain
  • Neurapheresis
  • Subarachnoid hemorrhage

Fingerprint

Dive into the research topics of 'Novel Dual Lumen Catheter and Filtration Device for Removal of Subarachnoid hemorrhage: First Case Report'. Together they form a unique fingerprint.

Cite this