Endovascular treatment of cerebral vasospasm following aneurysmal subarachnoid hemorrhage.
Endovascular treatment by balloon angioplasty or intra-arterial papaverine infusion has been established as a valuable treatment option in patients with cerebral vasospasm refractory to maximal medical therapy. A summary of the indications, applications and limitations is provided for microcatheter guided selective papaverine infusion and transluminal balloon angioplasty in patients who sustain cerebral vasospasm following subarachnoid haemorrhage. Structured neuro-intensive and endovascular treatment of imminent vasospasm integrate papaverine administration and balloon angioplasty as complimentary rather than alternative techniques.
Schuknecht
B
B
Institute of Neuroradiology, University Hospital of Zurich, Zurich, Switzerland. Schuknecht@mri-roentgen.ch
D004621:Embolization, Therapeutic / Q000295:instrumentation / Q000379:methods* / Q000639:trends; D006801:Humans; D002532:Intracranial Aneurysm / Q000150:complications / Q000601:surgery*; D008866:Microsurgery / Q000295:instrumentation / Q000379:methods* / Q000639:trends; D019635:Neurosurgical Procedures / Q000295:instrumentation / Q000379:methods* / Q000639:trends; D019990:Perioperative Care; D017410:Practice Guidelines as Topic; D010818:Practice Patterns, Physicians'; D013345:Subarachnoid Hemorrhage / Q000209:etiology / Q000601:surgery*; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000295:instrumentation / Q000379:methods* / Q000639:trends; D020301:Vasospasm, Intracranial / Q000209:etiology / Q000601:surgery*