Document Detail

Combined endovascular therapy of ruptured aneurysms and cerebral vasospasm.
MedLine Citation:
PMID:  11198215     Owner:  NLM     Status:  MEDLINE    
We describe two patients with subarachnoid haemorrhage due to a ruptured intracranial aneurysm and severe symptomatic vasospasm. The aneurysm was occluded with detachable coils followed by intra-arterial infusion of papaverine to treat vasospasm as an one-stage procedure. There was significant resolution of the vasospasm. The long-term clinical outcome in one patient was excellent, the other still has minor deficits. Combined endovascular aneurysm therapy followed by intra-arterial spasmolysis with papaverine is a technically feasible therapeutic alternative in patients with symptomatic vasospasm.
I Wanke; A Dörfler; U Dietrich; T Aalders; M Forsting
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Neuroradiology     Volume:  42     ISSN:  0028-3940     ISO Abbreviation:  Neuroradiology     Publication Date:  2000 Dec 
Date Detail:
Created Date:  2001-01-25     Completed Date:  2001-03-08     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  1302751     Medline TA:  Neuroradiology     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  926-9     Citation Subset:  IM    
Department of Neuroradiology and Department of Neurosurgery, University of Essen, Hufelandstrasse 55, Essen D-45122, Germany.
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MeSH Terms
Aneurysm, Ruptured / pathology,  therapy*
Carotid Arteries / pathology
Cerebral Angiography
Combined Modality Therapy
Embolization, Therapeutic / methods*
Infusions, Intra-Arterial
Intracranial Aneurysm / pathology,  therapy*
Papaverine / administration & dosage,  therapeutic use*
Treatment Outcome
Vasodilator Agents / administration & dosage,  therapeutic use*
Vasospasm, Intracranial / drug therapy*,  etiology
Reg. No./Substance:
0/Vasodilator Agents; 58-74-2/Papaverine

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

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