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Endovascular Treatment: Balloon Angioplasty Versus Nimodipine Intra-arterial for Medically Refractory Cerebral Vasospasm Following Aneurysmal Subarachnoid Hemorrhage.
MedLine Citation:
PMID:  22914892     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Cerebral vasospasm (CV) accounts significant morbimortality after aneurysmal subarachnoid hemorrhage. The objective of this study was to compare the clinical outcome of patients with CV treated by 2 endovascular procedures: intra-arterial nimodipine angioplasty (IANA) and balloon angioplasty (BA). Between 2008 and June 2011, we performed 22 IANA and 8 BA in 30 patients. The mean age was 44 years and 60% was female. In 17 patients, the treatment was clipping, whereas 13 underwent coil treatment. The CV was severe in 63%, moderate in 30%, and mild in 7%. Good outcome between 2 groups was similar (P = .36). The clinical outcome according to the subgroups of CV severity and modality treatment was equivalent (P = .22). Mortality at 3 months was 16% and 20% at 1 year. We did not find differences in the clinical outcome despite the fact that both techniques produce adequate angiographic resolution of CV.
Authors:
Yolanda Aburto-Murrieta; Juan M Marquez-Romero; Dulce Bonifacio-Delgadillo; Iván López; B Hernández-Curiel
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Vascular and endovascular surgery     Volume:  46     ISSN:  1938-9116     ISO Abbreviation:  Vasc Endovascular Surg     Publication Date:  2012 Aug 
Date Detail:
Created Date:  2012-08-23     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101136421     Medline TA:  Vasc Endovascular Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  460-5     Citation Subset:  IM    
Affiliation:
1Departamento de Terapia Endovascular, Instituto Nacional de Neurología y Neurología, Insurgentes Sur, Mexico.
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