Document Detail


Brain blood flow SPECT in temporary balloon occlusion of carotid and intracerebral arteries.
MedLine Citation:
PMID:  8326378     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
It is important to determine preoperatively which patients can tolerate permanent occlusion of a cervical internal carotid or cerebral artery when such a procedure may be necessary to treat cerebrovascular or neoplastic lesions. Here we report our experience in combining temporary intra-arterial balloon occlusion with concomitant cerebral blood flow imaging in preoperative evaluation of such patients. Forty-two patients with a variety of cerebrovascular and neoplastic lesions underwent trial balloon occlusion of an internal carotid or intracerebral artery. Eight patients developed both neurologic symptoms as well as brain perfusion defects during trial occlusion. Nine others developed only perfusion defects. The remainder were asymptomatic and had negative scans. Brain blood flow imaging during intra-arterial balloon occlusion identified 17 patients potentially at risk for developing postsurgical ischemic deficits. Treatment alternatives to acute arterial sacrifice were developed for these patients.
Authors:
D Mathews; B S Walker; P D Purdy; H Batjer; B C Allen; D A Eckard; M D Devous; F J Bonte
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of nuclear medicine : official publication, Society of Nuclear Medicine     Volume:  34     ISSN:  0161-5505     ISO Abbreviation:  J. Nucl. Med.     Publication Date:  1993 Aug 
Date Detail:
Created Date:  1993-08-12     Completed Date:  1993-08-12     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0217410     Medline TA:  J Nucl Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1239-43     Citation Subset:  IM    
Affiliation:
Department of Radiology, University of Texas Southwestern Medical Center, Dallas 75235-9071.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Aged, 80 and over
Brain / blood supply*,  radionuclide imaging
Carotid Arteries*
Cerebral Arteries*
Cerebrovascular Circulation / physiology*
Embolization, Therapeutic*
Female
Humans
Male
Middle Aged
Time Factors
Tomography, Emission-Computed, Single-Photon*
Comments/Corrections
Comment In:
J Nucl Med. 1993 Aug;34(8):1243-5   [PMID:  8326379 ]
J Nucl Med. 1994 Sep;35(9):1556-7   [PMID:  8071708 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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