Abstract
Interventional neurovascular techniques for the treatment of cerebrovascular disorders and stroke have evolved rapidly during the past decade. Development of soft, atraumatic microcatheters and steerable microguidewires have now allowed the interventional neuroradiologist relatively safe access to all the larger intracranial vessels around the skull base and circle of Willis. Newer nonionic contrast media used to visualize the cerebral vessels have decreased adverse reactions. Digital subtraction angiography has allowed rapid interpretation and immediate visualization of the blood vessels during infusion therapy of thrombolytic agents. Magnetic resonance imaging and magnetic resonance angiography now allow noninvasive screening and follow-up of patients with cerebrovascular occlusive disease.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Osborn AG(1980) Technical aspect of cerebral angiongraphy In:Osborn A (ed) Introduction cerebral angiography,Harper and Row,Philadeliphia
Masaryk TJ, Modic MT, Ross JS (1989) Intracranial circulation: preliminary clinical results with three-dimensional (volume) MR angiography. Radiology 171: 793–799
Crosby DL, Turski PA, Davis (1992) Magnetic resonance angiography and stroke. Neuroimaging Clin North Am 2: 509–531
Yonas H, Wolfson SK, Gur D (1984) Clinical experience with the use of xenon-enhanced CT blood flow mapping in cerebral vascular disease. Stroke 15: 443–450
Caroll BA (1992) Carotid sonography. Neuroimaging Clin North Am 2: 533–557
Wall SD, Brant-Zawadzki M, Jeffrey RB, Barnes B (993) High frequency CT findings within 24 hours after cerebral infarction. AJR 138: 307–311
Mani RL, Eisenberg RL, McDonald EJ, Pollock JA, Mani JR (1978) Complications of catheter cerebral arteriography: analysis of 5000 procedures. I. Criteria and incidence. AJR 131: 861–865
Mani RL, Eisenberg RL (1978) Complications of catheter cerebral arteriography: analysis of 5000 procedures. II. Relation of complication rates to clinical and arteriographic diagnosis. AJR 131: 867–869
Mani RL, Eisenberg RL, McDonald EJ, Pollock JA, Mani JR (1978) Complications of catheter cerebral arteriography: analysis of 5000 procedures. III. Assessment of arteries injected, contrast medium used, duration of procedure, and age of patient. AJR 131: 871–874
Hieshima GB, Reicher MA, Higashida RT, Halbach VV, Cahan LD, Martin NA, Frazee JG, Rand RW, Bentson JR (1987) Intraoperative digital subtraction neuroangiography: a diagnostic and therapeutic tool. AJNR 8: 759–768
Katayama H, Yamaguchi K, Kozuka T, Takashima T, Seez P, Matsuura K (1990) Adverse reactions to ionic and nonionic contrast media. Radiology 175: 621–628
Kikuchi Y, Strother CM, Boyer M (1987) New catheter for endovascular interventional procedures. Radiology 165: 870–871
Berenstein A, Lasjaunias P (1992) Newer developments in endovascular surgery in the CNS. In: Berenstein A, Lasjaunias P (eds) Surgical neuroangiography, vol 5. Endovascular treatment of spine and spinal cord Lesions. Springer, Berlin Heidelberg New York, pp 149–205
Wilson CB, Hieshima GB, Higashida RT, Halbach VV, Dowd CF, Barnwell SL (1991) Interventional radiological adjuncts in cerebrovascular surgery. Clin Neurosurg 37: 332–352
Higashida RT, Hieshima GB, Halbach VV (1991) Advances in the treatment of complex cerebrovascular disorders by interventional neurovascular techniques. Circulation ß3:I196— I - 206
Halbach VV, Higashida RT, Hieshima GB (1989) Interventional neuroradiology. AJR 153: 467–476
Halbach VV, Higashida RT, Dowd CF, Barnwell SL, Hieshima GB (1991) Management of vascular perforations that occur during neurointerventional procedures. AJNR 12: 319–328
Zeumer H, Freitag HJ, Knowpe V (1992) Intravascular thrombolysis in central nervous system cerebrovascular disease. Neuroimaging Clin North Am 2: 359–369
Mori E, Tabuchi M, Yoshida T, Yamadori A (1988) Intracarotid urokinase with thromboembolic occlusion of the middle cerebral artery. Stroke 19: 802–812
del Zoppo GJ, Ferbert A, Otis S, Bruchman H, Hacke W, Zyroff J, Harker LA, Zeumer H (1988) Local intra-arterial fibrinolytic therapy in acute carotid territory stroke: a pilot study. Stroke 19: 307–313
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1995 Springer-Verlag Tokyo
About this paper
Cite this paper
Higashida, R.T., Halbach, V.V., Tsai, F.Y., Dowd, C.F., Hieshima, G.B. (1995). Interventional Neurovascular Techniques in Acute Thrombolytic Therapy for Stroke. In: Yamaguchi, T., Mori, E., Minematsu, K., del Zoppo, G.J. (eds) Thrombolytic Therapy in Acute Ischemic Stroke III. Springer, Tokyo. https://doi.org/10.1007/978-4-431-68459-6_34
Download citation
DOI: https://doi.org/10.1007/978-4-431-68459-6_34
Publisher Name: Springer, Tokyo
Print ISBN: 978-4-431-70139-2
Online ISBN: 978-4-431-68459-6
eBook Packages: Springer Book Archive