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Endovascular Treatment of Cerebral Vasospasm Following S.A.H.

  • Conference paper
Cerebral Vasospasm

Part of the book series: Acta Neurochirurgica Supplements ((NEUROCHIRURGICA,volume 77))

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Abstract

Cerebral vasospasm (CV) remains one of the most feared complication of subarachnoid hemorrhage associated with severe morbidity and mortality. After HHH therapy and intravenous nimodipine infusion, some patients still show evidence of neurological deficit due to CV. Many studies have demonstrated the benefits of papaverin infusion but this drug appeared to have a transient and moderate efficiency on the patient outcome and may be reserved for diffuse CV. Percutaneous angioplasty associated with vasodilating drugs has been shown to offer greater chance of long-lasting re-opening of the narrowed vessels. This articles reviews different techniques for endovascular management of CV and several studies relating to efficacies of PTA and or papaverine/nimodipine intraarterial infusion.

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References

  1. Asano T, Sano K (1977) Pathogenetic role of no-reflow phenomenon in experimental subarachnoid hemorrhage in dogs. J Neurosurg 46: 454–466

    Article  PubMed  CAS  Google Scholar 

  2. Bejjano GK, Bank WO, Olan WJ, Sekhar LN (1998) The efficacy and safety of angioplasty for cerebral vasospasm after subarachnoid hemorrhage. Neurosurg 42(5): 979–986

    Article  Google Scholar 

  3. Dietrich HH, Ralph GD (2000) Molecular keys to the problems of cerebral vasospasm. Neurosurgery 46: 517–530

    Article  PubMed  CAS  Google Scholar 

  4. Dorsch NWC (1990) Incidence, effects and treatment of ischemia following aneurysm rupture. In: Sano K, Takakura K, Kassell NF, Saaki T (eds) Cerebral vasospasm. University of Tokyo Press, Tokyo, pp 495–498

    Google Scholar 

  5. Elliot JP, Newell DW, Lam DJ (1998) Comparison of balloon angioplasty and papaverine infusion for the treatment of vasospasm following aneurysmal subarachnoid hemorrhage. J Neurosurg 88: 277–284

    Article  Google Scholar 

  6. Eskridge JM, McAuliffe W, Song JK (1998) Balloon angioplasty for the treatment of vasospasm: results of the 50 first cases. Neurosurgery 42: 510–517

    Article  PubMed  CAS  Google Scholar 

  7. Firlik AD, Kaufmann AM, Jungreis CA, Yonas H (1997) Effect of transluminal angioplasty on cerebral blood flow in the management of symptomatic vasospasm following subarachnoid hemorrhage. J Neurosurg 86: 830–839

    Article  PubMed  CAS  Google Scholar 

  8. Fisher CM (1975) Clinical syndromes in cerebral thrombosis, hypertensive hemorrhage and ruptured saccular aneurysm. Clin Neurosurg 22: 117–147

    PubMed  CAS  Google Scholar 

  9. Fisher CM, Roberson GH, Ojemann RG (1977) Cerebral vasospasm with ruptured saccular aneurysm. The clinical manifestations. Neurosurg 1: 245–248

    Article  CAS  Google Scholar 

  10. Hiroshi Katoh, Katsuji Shima, Akira Shimizu, Katoh H, Shima K, Shimizu A, Takiguchi H, Miyazawa T, Umezawa H, Nawashiro H, Ishihara S, Kaji T, Makita K, Tsuchiya K (1999) Clinical evaluation of percutaneous transluminal angioplasty and intra arterial papaverine infusion for the treatment of vasospasm following aneurysmal subarachnoid hemorrhage. Neurol Res 21: 195–203

    Google Scholar 

  11. Honma Y, Fujiwara T, Irie K, Ohkawa M, Nagao S (1995) Morphological changes in human cerebral arteries after PTA for vasospasm caused by subarachnoid hemorrhage. Neurosurgery 36: 1073–1081

    Article  PubMed  CAS  Google Scholar 

  12. Inkyeom K, Leinweber B, Morgalla M, Butler WE, Minoru S, Yasuharu S, Peterson J, Morgan K (2000) Thin and thick filament regulation of contractility in experimental cerebral vasospasm. Neurosurgery 46: 440–447

    Article  Google Scholar 

  13. Kassel NF, Torner JC, Haley EC, Jane JE, Adams HP, Kongable GL (1990) The International cooperative study on the timing of aneurysm surgery: part 1- overall management results. J Neurosurg 73: 18–30

    Article  Google Scholar 

  14. Kassel NF, Helm G, Simmons N, Phillips CD, Cail W (1992) Treatment of cerebral vasospasm with intra-arterial papaverine. J Neurosurg 77: 842–847

    Article  Google Scholar 

  15. Lewis DH, Eskridge JM, Newell DW, Grady MS, Cohen WA, Dalley RW, Loyd D, Grothaus-King A, Young P, Winn HR (1992) Brain SPECT and the effect of cerebral angioplasty in delayed ischemia due to vasospasm. J Nucl Med 10(33): 1789–1796

    Google Scholar 

  16. Milburn JM, Moran CJ, Cross TD, Diringer MN, Pilgram TK, Dacey RG Jr (1998) Increase in diameters of vasospastic intracranial arteries by intra-arterial papaverine administration. J Neurosurg 88: 38–42

    Article  PubMed  CAS  Google Scholar 

  17. Muizelaar JP, Zwienenberg M, Rudisill NA, Hecht ST (1999) The prophylactic use of transluminal angioplasty in patients with Fisher Grade 3 subarachnoid hemorrhage: a pilot study. J Neurosurg 91: 51–58

    Article  PubMed  CAS  Google Scholar 

  18. Newell DW, Eskridge JM, Mayberg JM, Grady MS, Lewis D, Winn HR (1992) Endovascular treatment of intracranial aneurysm and cerebral vasospasm. Clin Neurosurg 39: 348–360

    PubMed  CAS  Google Scholar 

  19. Numaguchi Y, Zoarsky GH, Clouston JE, Zagardo MT, Simard JM, Aldrich EF, Sloan MA, Maurer PK, Okawara SH (1997) Repeat intra-arterial papaverine for recurrent cerebral vasospasm after SAH. Neuroradiology 39: 751–759

    Article  PubMed  CAS  Google Scholar 

  20. Pasqualin A (1998) Epidemiology and physiopathology of cerebral vasospasm following subarachnoid hemorrhage. J Neurosurg Sci 42: 15–21

    PubMed  CAS  Google Scholar 

  21. Polin RS, Coenen VA, Hansen CA, Shin P, Baskaya MK, Nanda A, Kassell NF (2000) Efficacy of transluminal angioplasty for the management of symptomatic cerebral vasospasm following subarachnoid vasospasm hemorrhage. J Neurosurg 92: 284–290

    Article  PubMed  CAS  Google Scholar 

  22. Rosenwasser RH, Armonda RA, Thomas GE, Benitez RP, Gannon PM, Harrop J (1999) Therapeutic modalities for the management of cerebral vasospasm: timing of endovascular options. Neurosurgery 44: 975–980

    Article  PubMed  CAS  Google Scholar 

  23. Sawada M, Hashimoto N, Tsukahara T, Nishi S, Kaku Y, Yoshimura S (1997) Effectiveness of intra-arterially infused papaverine solutions at various concentrations for the treatment of delayed cerebral vasospasm. Acta Neurochir (Wien) 139(8): 706–711

    Article  CAS  Google Scholar 

  24. Tranquart F, Ades PE, Groussin P, Rieant JF, Jan M, Baulieu JL (1993) Postoperative assessment of cerebral blood flow in subarachnoid hemorrhage by means of TC 99m-HMPAO tomography. Eur J Nucl Med 20: 53–58

    Article  PubMed  CAS  Google Scholar 

  25. Volk EE, Prayson RA, Perl J II (1997) Autopsy findings of fatal complications of posterior cerebral artery angioplasty. Arch Pathol Lab Med 121: 738–740

    PubMed  CAS  Google Scholar 

  26. Yundt KD, Grubb RL, Diringer HM, Povers WJ (1998) Autoregulatory vasodilatation of parenchymal vessels is impaired during cerebral vasospasm. J Cereb Blood Flow Metab 18: 419–424

    Article  PubMed  CAS  Google Scholar 

  27. Zabramsky JM, Hamilton MG (1997) Cerebral vasospasm. In: Carter LP, Spetzler RF (eds) Neurovascular surgery. Mc Graw-Hill, New York, pp 583–602

    Google Scholar 

  28. Zubkov YN, Nikiforov BM, Shustin UA (1984) Balloon catheter technique for dilatation of constricted cerebral arteries after aneurysmal SAH. Acta Neurochir (Wien) 70: 65–69

    Article  CAS  Google Scholar 

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Author information

Authors and Affiliations

  1. Interventional Neuroradiology Service, Rothschild Foundation, 25-29 Rue Manin, 75940, Paris, France

    Prof. J. Moret

Authors
  1. X. Barreau
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  2. M. Pastore
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  3. M. Piotin
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  4. C. Spelle
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  5. Prof. J. Moret
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Editor information

Editors and Affiliations

  1. Inselspital, Neurochirurgische Univ.-Klinik, Bern, Switzerland

    R. W. Seiler

  2. Klinikum Großhadern, Neurochirurgische Univ.-Klinik, München, Germany

    H.-J. Steiger

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© 2001 Springer-Verlag

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Barreau, X., Pastore, M., Piotin, M., Spelle, C., Moret, J. (2001). Endovascular Treatment of Cerebral Vasospasm Following S.A.H.. In: Seiler, R.W., Steiger, HJ. (eds) Cerebral Vasospasm. Acta Neurochirurgica Supplements, vol 77. Springer, Vienna. https://doi.org/10.1007/978-3-7091-6232-3_37

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  • DOI: https://doi.org/10.1007/978-3-7091-6232-3_37

  • Publisher Name: Springer, Vienna

  • Print ISBN: 978-3-211-83650-7

  • Online ISBN: 978-3-7091-6232-3

  • eBook Packages: Springer Book Archive

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