Intraarterial papaverine for the treatment of vasospasm.
نویسندگان
چکیده
The authors describe the use of intraarterial papaverine to treat vasospasm following subarachnoid hemorrhage. Two cases are reported: a 40-year-old woman with a posterior communicating artery aneurysm and a 67-year-old man with a posterior cerebral artery aneurysm. Both patients developed symptomatic, angiographically demonstrated vasospasm that responded to papaverine infusion.
منابع مشابه
Treatment of traumatic arterial vasospasm with intraarterial papaverine infusion.
We report a case of severe posttraumatic arterial vasospasm treated with repetitive intraarterial papaverine infusions. The salient features of the mechanism of action of papaverine are included.
متن کاملIn vitro evaluation of papaverine hydrochloride incompatibilities: a simulation of intraarterial infusion for cerebral vasospasm.
PURPOSE To elucidate, in light of reports of complications associated with intraarterial infusion of papaverine hydrochloride, the known propensity of papaverine hydrochloride to form precipitate in combination with other solutions or pharmaceuticals. METHODS Initially simulating a situation experienced during an intraarterial papaverine infusion for cerebral vasospasm, we mixed various conce...
متن کاملIntraarterial papaverine as an adjunct to transluminal angioplasty for vasospasm induced by subarachnoid hemorrhage.
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.
متن کاملIntracranial pressure monitoring during intraarterial papaverine infusion for cerebral vasospasm.
PURPOSE Intraarterial papaverine infusions are performed to reverse cerebral arterial vasospasm resulting from subarachnoid hemorrhage, but such infusions may lead to increases in intracranial pressure (ICP). This study was undertaken to determine when ICP monitoring is indicated during papaverine treatment. METHODS Seventy-eight vessels were treated in 51 sessions in 28 patients with symptom...
متن کاملUpdate 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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ورودعنوان ژورنال:
- AJNR. American journal of neuroradiology
دوره 14 4 شماره
صفحات -
تاریخ انتشار 1993