Document Detail


A provocative internal carotid artery balloon occlusion test with 99mTc-HM-PAO CBF mapping--report of three cases.
MedLine Citation:
PMID:  1280776     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The balloon occlusion test (BOT) of the internal carotid artery (ICA), combined with induced hypotension and cerebral blood flow (CBF) mapping, was carried out in three patients with a large or giant aneurysm of the ICA. Occlusion of the ICA for 10 minutes in the normotensive state was followed by 5 minutes of induced hypotension. During the last 2 minutes of hypotensive occlusion, technetium-99m-hexamethyl-propyleneamine oxime was administered to study the CBF. All patients tolerated the procedure well. One patient with moderate CBF reduction developed ischemic complications 24 hours after permanent ICA occlusion. Another showed no significant change in CBF and tolerated permanent ICA occlusion well, while the third refused permanent occlusion. The provocative BOT combined with CBF mapping is a promising predictor of complications of ICA occlusion secondary to perfusion abnormalities.
Authors:
M Komiyama; V K Khosla; K Tamura; Y Nagata; M Baba
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Neurologia medico-chirurgica     Volume:  32     ISSN:  0470-8105     ISO Abbreviation:  Neurol. Med. Chir. (Tokyo)     Publication Date:  1992 Sep 
Date Detail:
Created Date:  1993-01-07     Completed Date:  1993-01-07     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0400775     Medline TA:  Neurol Med Chir (Tokyo)     Country:  JAPAN    
Other Details:
Languages:  eng     Pagination:  747-52     Citation Subset:  IM    
Affiliation:
Department of Neurosurgery, Baba Memorial Hospital, Sakai, Osaka.
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MeSH Terms
Descriptor/Qualifier:
Aged
Algorithms
Aneurysm / complications,  physiopathology,  radionuclide imaging*,  therapy
Balloon Dilatation*
Blood Pressure
Carotid Artery Diseases / complications,  physiopathology,  radionuclide imaging*,  therapy
Carotid Artery, Internal / radionuclide imaging
Cerebral Infarction / complications
Cerebrovascular Circulation*
Female
Humans
Hypotension, Controlled*
Male
Middle Aged
Organotechnetium Compounds / diagnostic use*
Oximes / diagnostic use*
Technetium Tc 99m Exametazime
Chemical
Reg. No./Substance:
0/Organotechnetium Compounds; 0/Oximes; 100504-35-6/Technetium Tc 99m Exametazime

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


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