Mechanical Revascularization of Cerebral Venous Sinuses in Extensive Cerebral Venous Sinus Thrombosis Using Pipeline-Pigging Technique and Intra-Sinus Tenecteplase: Technical Note and Review of Literature
Shakir Husain Hakim, Abdul Muqueet Shaikh, Vinod Singh Jatav, Anand Rammanohar Warrier, Abdusalam Kizhakkaniyakath, Pradeep Kumar V G, Presaad Pillai · 2026
Read Mechanical Revascularization of Cerebral Venous Sinuses in Extensive Cerebral Venous Sinus Thrombosis Using Pipeline-Pigging Technique and Intra-Sinus Tenecteplase: Technical Note and Review of Literature by Shakir Husain Hakim, Abdul Muqueet Shaikh, Vinod Singh Jatav, Anand Rammanohar Warrier, Abdusalam Kizhakkaniyakath, Pradeep Kumar V G, Presaad Pillai (2026) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/PMC13311858.txt.
Description
Shakir Husain Hakim and co-authors describe their 2026 technique for clearing extensive clots from the brain's vein channels when standard tools fail. They name the method pipeline-pigging.
A patient with widespread cerebral venous sinus thrombosis kept worsening despite blood thinners, and standard suction and stent tools could not reopen the channels. The team used a stiff angioplasty balloon to break up the clot while suction ran, plus a clot-dissolving drug placed inside the sinus. Near-complete reopening and a good clinical result followed. The authors present the trick as a cheap, effective backup for stubborn cases, with a literature review alongside.
Catalog record
| CREATOR | Shakir Husain Hakim, Abdul Muqueet Shaikh, Vinod Singh Jatav, Anand Rammanohar Warrier, Abdusalam Kizhakkaniyakath, Pradeep Kumar V G, Presaad Pillai |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 25085 |
| LICENSE | https://creativecommons.org/licenses/by/4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |