Intraarterial papaverine as an adjunct to transluminal angioplasty for vasospasm induced by subarachnoid hemorrhage.
نویسندگان
چکیده
Basilar artery vasospasm refractory to medical therapy was confirmed by clinical deterioration and angiography in a 47-year-old man; successful passage of a nondetachable balloon system and angioplasty were facilitated by intraarterial papaverine.
منابع مشابه
Update on endovascular therapies for cerebral vasospasm induced by aneurysmal subarachnoid hemorrhage.
Cerebral vasospasm remains a major source of morbidity and death in patients with aneurysmal subarachnoid hemorrhage (SAH). When vasospasm becomes refractory to maximal medical management consisting of induced hypertension and hypervolemia and administration of calcium channel antagonists, endovascular therapies should be considered. The primary goal of endovascular treatment is to increase cer...
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INTRODUCTION Delayed ischemic neurologic deficits secondary to vasospasm are a major cause of morbidity and mortality after subarachnoid hemorrhage (SAH). Treatment of vasospasm after SAH is associated with complications, and reliable techniques for evaluating effects of treatment of vasospasm in such patients are warranted. We present the use of perfusion computed tomography (PTC) to evaluate ...
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PURPOSE OF REVIEW In a rapidly advancing specialty, it is essential to review the recent studies of alternative new treatments and present their efficacy, safety and outcome. We discuss the recent advances in the endovascular treatment of cerebral vasospasm following aneurysmal subarachnoid hemorrhage in the past few years with special focus on the literature regarding this subject in the last ...
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Subarachnoid hemorrhage from a ruptured aneurysm remains a devastating disease (1–8). In as many as one third of survivors, symptomatic vasospasm poses a significant clinical problem that can result in aphasia, hemiparesis, coma, and even death (4, 6, 9). Over the past decade, progress has been made in the treatment of vasospasm through the use of endovascular techniques. Percutaneous translumi...
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ورودعنوان ژورنال:
- AJNR. American journal of neuroradiology
دوره 14 2 شماره
صفحات -
تاریخ انتشار 1993