Preliminary Experience with the Treatment of Intracranial Vasospasm by Transvascular Balloon Angioplasty

  • V. Van Halbach
  • Grant B. Hieshima
  • Randall T. Higashida
  • Peter Yang
Conference paper


Microneurosurgical advances have greatly decreased the morbidity and mortality associated with ruptured intracranial aneurysms, particularly in patients with good clinical status. In patients with poor clinical status, the devastating effects of hemorrhage on the cerebral circulation can result in ischemia and infarction. Early neurosurgical clipping allows more aggressive postoperative management of delayed cerebral vasospasm with volume expansion and hypertension. Early surgery has shown a decreased incidence of delayed vasospasm if the clot surrounding the cerebral vasculature can be removed [8]. In patients with delayed cerebral vasospasm with an untreated aneurysm, treatment with hypertension and volume expansion can increase the risk of rehemorrhage. In the United States, as many as 11% of patients with ruptured aneurysms will die secondary to the ischemic consequences of vasospasm, and considerably more will be permanently disabled [7].


Basilar Artery Intracranial Aneurysm Cerebral Vasospasm Posterior Cerebral Artery Deep Coma 


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Copyright information

© Springer Japan 1988

Authors and Affiliations

  • V. Van Halbach
    • 1
  • Grant B. Hieshima
    • 1
  • Randall T. Higashida
    • 1
  • Peter Yang
    • 1
  1. 1.Departments of Radiology and Neurological SurgeryUCSF Medical CenterSan FranciscoUSA

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