Advertisement

Current Indications and Results of Cerebral Angioplasty

  • D. W. Newell
  • J. M. Eskridge
  • R. Aaslid
Conference paper
Part of the Acta Neurochirurgica Supplements book series (NEUROCHIRURGICA, volume 77)

Balloon angioplasty was first made possible by advances in micro-catheter technology and neurointerventional imaging. Zubkov et al. reported the first use of balloon angioplasty for cerebral vasospasm in humans in 1984 [8]. Subsequent reports by others confirmed the results that vasospasm of the cerebral arteries induced by subarachnoid hemorrhage could be successfully treated by cerebral angioplasty with micro-balloon catheters [3, 6]. These initial case series reported immediate reversal of angiographic vasospasm as well as sustained improvement in vessel caliber as measured by transcranial Doppler and improvements in cerebral blood flow. Improvements in neurological deficits caused by vasospasm were also reported. Initial reports emphasized the need for careful selection of patients and also reported several associated complications including vessel occlusion, rupture of unsecured aneurysms as well as re-perfusion hemorrhage.

Keywords

Cerebral Blood Flow Subarachnoid Hemorrhage Balloon Angioplasty Cerebral Vasospasm Angiographic Vasospasm 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Elliott JP, Newell DW, Lam DJ, Eskridge JH, Douville CM, LeRout PD, Lewis DH, Mayberg MR, Grady MS, Winn HR (1998) Comparison of balloon angioplasty and papaverine infusion for the treatment of vasospasm following aneurysmal subarachnoid hemorrhage. J Neurosurg 88: 277–284PubMedCrossRefGoogle Scholar
  2. 2.
    Eskridge JM, McAulifTe W, Song JK, Deliganis AV, Newell DW, Lewis DH, Mayberg MR, Winn HR (1998) Balloon angioplasty for the treatment of vasospasm: results of first 50 cases. Neurosurgery 42: 510–516, discussion 516–517PubMedCrossRefGoogle Scholar
  3. 3.
    Higashida RT, Halbach VV, Cahan LD, Brant-Zawadzki M, Barnwell S, Dowd C, Hieshima GB (1989) Transluminal angioplasty for treatment of intracranial arterial vasospasm. J Neurosurg 71: 648–653PubMedCrossRefGoogle Scholar
  4. 4.
    Kassell NF, Helm G, Simmons N, Phillips CD, Cail WS (1992) Treatment of cerebral vasospasm with intra-arterial papaverine. J Neurosurg 77: 848–852PubMedCrossRefGoogle Scholar
  5. 5.
    Muizelaar JP, Zwienenberg M, Rudisill NA, Hecht ST (1999) The prophylactic use of transluminal balloon angioplasty in patients with Fisher Grade 3 subarachnoid hemorrhage: a pilot study. J Neurosurg 91: 51–58PubMedCrossRefGoogle Scholar
  6. 6.
    Newell DW, Eskridge JM, Mayberg MR, Grady MS, Winn HR (1989) Angioplasty for the treatment of symptomatic vasospasm following subarachnoid hemorrhage. J Neurosurg 71: 654–660PubMedCrossRefGoogle Scholar
  7. 7.
    Newell DW, Elliott JP, Eskridge JM, Winn HR (1999) Endovascular therapy for aneurysmal vasospasm. Crit Care Clin 15: 685–699, vPubMedCrossRefGoogle Scholar
  8. 8.
    Zubkov YN, Nikiforov BM, Shustin VA (1984) Balloon catheter technique for dilatation of constricted cerebral arteries after aneurysmal subarachnoid hemorrhage. Acta Neurochir (Wien) 70: 65CrossRefGoogle Scholar

Copyright information

© Springer-Verlag 2001

Authors and Affiliations

  • D. W. Newell
    • 1
  • J. M. Eskridge
    • 2
  • R. Aaslid
    • 3
  1. 1.Department of Neurological SurgeryUniversity of WashingtonSeattleUSA
  2. 2.Department of Neurological Surgery and RadiologyUniversity of WashingtonSeattleUSA
  3. 3.University of WashingtonSeattleUSA

Personalised recommendations