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Titolo:
ENDOVASCULAR TREATMENT OF VASOSPASM
Autore:
BRACARD S; ANXIONNAT R; DUCROCQ X; BURDIN D; PER A; MARCHAL JC; AUQUE J; PICARD L;
Indirizzi:
CHU NANCY,HOP URBAINS,SERV NEURORADIOL DIAGNOST & THERAPEUT F-54035 NANCY FRANCE
Titolo Testata:
Annales francaises d'anesthesie et de reanimation
fascicolo: 3, volume: 15, anno: 1996,
pagine: 382 - 386
SICI:
0750-7658(1996)15:3<382:ETOV>2.0.ZU;2-9
Fonte:
ISI
Lingua:
FRE
Soggetto:
INTRACRANIAL ARTERIAL VASOSPASM; TRANS-LUMINAL ANGIOPLASTY; SUBARACHNOID HEMORRHAGE; INTRAARTERIAL PAPAVERINE; TRANSLUMINAL ANGIOPLASTY; CEREBRAL VASOSPASM; BALLOON ANGIOPLASTY; DILATATION; VESSELS; SPASM;
Keywords:
SUBARACHNOID HEMORRHAGE; CEREBRAL VASOSPASM; ANGIOPLASTY; PAPAVERINE; ANEURYSM; INTERVENTIONAL NEURORADIOLOGY;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
27
Recensione:
Indirizzi per estratti:
Citazione:
S. Bracard et al., "ENDOVASCULAR TREATMENT OF VASOSPASM", Annales francaises d'anesthesie et de reanimation, 15(3), 1996, pp. 382-386

Abstract

Various therapeutic strategies have been recently proposed to preventthe vasospasm after subarachnoid haemorrhage, and to avoid its clinical consequences. Despite these progresses, mortality and morbidity of delayed ischaemic consequences of vasospasm remain important Two endovascular treatments have been proposed. The successful use of transluminal angioplasty for vasospasm was first reported by Zubkov in 1984. Transluminal angioplasty is very effective with clinical improvement when the treatment is undertaken without delay after the onset of symptoms. Limitations of this technique are the inaccessiblity of distal arteries and the risks (vascular rupture or occlusion). More recently, to overcome these limitations, a selective intraarterial infusion of papaverine has been proposed. These infusions are less risky and can be employed in distal vasospasm. However, clinical results seem to be less favourable and often transient. These two techniques are still used with slightly different indications. According to our experience, it seems reasonable to reserve transluminal angioplasty for symptomatic vasospasm, associated with papaverine or not, acid to use papaverine alonein all other cases.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 07/08/20 alle ore 07:06:32