Treatment of vasospasm by balloon angioplasty: experimental studies and clinical experiences.
The vasodilation mode and degree of the invasion caused by balloon angioplasty were experimentally examined. Assessment by light microscopy and scanning electron microscopy demonstrated that the invasion to the implanted arterial wall, taken from a patient who died from vasospasm, was minimized by the use of the balloon under the condition at 1 atm, 10 times for 10 seconds. Furthermore, we applied angioplasty to eight patients who developed severe vasospasm after subarachnoid haemorrhage, and five showed improvement in neurophysiological (transcranial Doppler sonography), neuroradiological, and clinical examinations. In addition, blood vessels obtained from one patient who died 10 days after angioplasty, demonstrated similar findings to those of the experimental studies. It can be said that angioplasty will be one of the effective therapeutic methods to manage vasospasm when it is applied under the conditions mentioned above.
Department of Neurosurgery, Kyorin University School of Medicine, Tokyo, Japan.
Y
Y
Konishi
E
E
Maemura
M
M
Shiota
M
M
Hara
K
K
Takeuchi
I
I
Saito
D000328:Adult; D000368:Aged; D000800:Angioplasty, Balloon; D000818:Animals; D001344:Autopsy; D002536:Cerebral Arteries / Q000473:pathology* / Q000648:ultrastructure; D004285:Dogs; D005260:Female; D006801:Humans; D002546:Ischemic Attack, Transient / Q000209:etiology / Q000473:pathology / Q000628:therapy*; D008297:Male; D008855:Microscopy, Electron, Scanning; D008875:Middle Aged; D013345:Subarachnoid Hemorrhage / Q000150:complications