Role of endovascular super selective intra-arterial injection of CA channel blocker agent (nimodipine) in management of cerebral vasospasm following aneurysmal SAH: a single institution experience

Abstract Background Vasospasm is a grave complication of aneurysmal subarachnoid hemorrhage (SAH) with significant rate morbidity and mortality. Endovascular intra-arterial injection Ca channel blocker agent (Nimodipine) may offer promising solution in refractory vasospasm. Results During the period between April 2017 May 2019, 120 patients who presented SAH due to ruptured intracranial aneurysm were admitted neurosurgery department at Alexandria University Hospitals. Among them, 30 developed vasospasm subjected endovascular super selective intraarterial nimodipine. The angiographic improvement was excellent three (10%), good 14 (46%) poor remaining 13 procedures (43%). Clinical achieved 15 cases while showed no on Modified Rankin Scale. No deteriorated following injection. Conclusions chemical angioplasty using ca safe efficient method for treatment post quest still needed developing better overcome dilemma.