Angioplasty for the treatment of symptomatic vasospasm following subarachnoid hemorrhage
- 1 November 1989
- journal article
- Published by Journal of Neurosurgery Publishing Group (JNSPG) in Journal of Neurosurgery
- Vol. 71 (5), 654-660
- https://doi.org/10.3171/jns.1989.71.5.0654
Abstract
✓ Angioplasty of narrowed cerebral arteries was performed in 10 patients who became symptomatic from vasospasm following subarachnoid hemorrhage. This procedure was accomplished with a microballoon catheter via percutaneous transfemoral insertion. Patients were selected for treatment if they had delayed neurological deficits due to vasospasm which were not responsive to hypervolemic hypertensive therapy. Eight patients (80%) showed sustained improvement in neurological function following the procedure. In two patients transcranial Doppler ultrasound recordings were obtained which revealed decreased mean blood flow velocities following angioplasty. Two patients died, one from an aneurysmal rebleed, and one secondary to diffuse vasospasm. There was one case of delayed stroke 6 weeks following the procedure. The overall results of this series indicate that in selected cases percutaneous balloon angioplasty can offer marked improvement to patients with ischemic deficits due to vasospasm following subarachnoid...Keywords
This publication has 34 references indexed in Scilit:
- Outcome of aneurysmal subarachnoid hemorrhage in a hospital populationNeurosurgery, 1988
- Functional arterial changes in chronic cerebrovasospasm in monkeys: an in vitro assessment of the contribution to arterial narrowing.Stroke, 1987
- Clinical vasospasm after subarachnoid hemorrhage: response to hypervolemic hemodilution and arterial hypertension.Stroke, 1987
- Barrier disruption in the major cerebral arteries following experimental subarachnoid hemorrhageJournal of Neurosurgery, 1985
- Cerebral vasospasm following aneurysmal subarachnoid hemorrhage.Stroke, 1985
- Cerebral vasospasm after subarachnoid hemorrhage: An updateAnnals of Neurology, 1983
- Cerebral Arterial Spasm – A Controlled Trial of Nimodipine in Patients with Subarachnoid HemorrhageNew England Journal of Medicine, 1983
- Treatment of Ischemic Deficits from Vasospasm with Intravascular Volume Expansion and Induced Arterial HypertensionNeurosurgery, 1982
- Constrictive endarteropathy following experimental subarachnoid hemorrhage.Stroke, 1981
- Cerebral Vasospasm with Ruptured Saccular Aneurysm — The Clinical ManifestationsNeurosurgery, 1977