The use of fibrin glue to stop venous bleeding in the epidural space, vertebral venous plexus, and anterior cavernous sinus: technical note.

Abstract:

OBJECTIVE:Various techniques have been used to stop venous bleeding from the epidural space, vertebral venous plexus, and cavernous sinus. Here, we describe our experience with the use of fibrin glue to stop venous bleeding in these areas. METHODS:During the last 8 years, the senior author (LNS) has used injection of Tisseel fibrin glue (Baxter Healthcare Corp., Deerfield, IL) into the epidural space (n = 200 patients), anterior cavernous sinus (n = 46 patients), vertebral venous plexus (n = 20 patients), and superior petrosal sinus (n = 20 patients) to assist in hemostasis. The technical nuances are illustrated in three videos. RESULTS:Injection of fibrin glue in the epidural space, anterior cavernous sinus, and vertebral venous plexus yielded good results in assisting with hemostasis. Two patients experienced complications caused by occlusion of veins draining the brainstem after fibrin glue was injected into the superior petrosal sinus. CONCLUSION:Fibrin glue injection is an excellent option for hemostasis in the epidural space, anterior cavernous sinus, and vertebral venous plexus. However, based on our experience, fibrin glue injection into the superior petrosal sinus is not recommended.

journal_name

Neurosurgery

journal_title

Neurosurgery

authors

Sekhar LN,Natarajan SK,Manning T,Bhagawati D

doi

10.1227/01.neu.0000289711.95426.50

subject

Has Abstract

pub_date

2007-09-01 00:00:00

pages

E51; discussion E51

issue

3 Suppl

eissn

0148-396X

issn

1524-4040

pii

00006123-200709001-00007

journal_volume

61

pub_type

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