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Titolo:
INTERVENTIONAL NEUROVASCULAR TECHNIQUES FOR CEREBRAL REVASCULARIZATION IN THE TREATMENT OF STROKE
Autore:
HIGASHIDA RT; HALBACH VV; TSAI FY; DOWD CF; HIESHIMA GB;
Indirizzi:
UNIV CALIF SAN FRANCISCO,MED CTR,DEPT RADIOL,DIV INTERVENT NEUROVASC RADIOL,505 PARNASSUS AVE SAN FRANCISCO CA 94143 UNIV CALIF SAN FRANCISCO,MED CTR,DEPT NEUROL SURG SAN FRANCISCO CA 94143 UNIV MISSOURI,TRUMAN MED CTR,SCH MED,DEPT RADIOL KANSAS CITY MO 64110
Titolo Testata:
American journal of roentgenology
fascicolo: 4, volume: 163, anno: 1994,
pagine: 793 - 800
SICI:
0361-803X(1994)163:4<793:INTFCR>2.0.ZU;2-J
Fonte:
ISI
Lingua:
ENG
Soggetto:
TRANS-LUMINAL ANGIOPLASTY; INTRACRANIAL ARTERIAL VASOSPASM; TRANSLUMINAL ANGIOPLASTY; SUBARACHNOID HEMORRHAGE; CAROTID-ARTERY; THERAPY; WALL;
Tipo documento:
Review
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
52
Recensione:
Indirizzi per estratti:
Citazione:
R.T. Higashida et al., "INTERVENTIONAL NEUROVASCULAR TECHNIQUES FOR CEREBRAL REVASCULARIZATION IN THE TREATMENT OF STROKE", American journal of roentgenology, 163(4), 1994, pp. 793-800

Abstract

Recent advances in interventional neurovascular radiology have altered the management of cerebrovascular diseases by providing alternative treatments in three areas. (1) Cerebral percutaneous transluminal angioplasty is being used more often as an alternative to surgical endarterectomy or bypass grafting for patients with high-grade vascular stenosis of the innominate, subclavian, carotid, vertebral, and intracranial blood vessels. To date, the success rate has been greater than 90%, with less than 10% morbidity. (2) Transluminal angioplasty and local infusion of antispasmodic drugs are being used to treat patients with severe angiographic vasospasm unresponsive to conventional medical therapy. Intracranial arterial vasospasm due to subarachnoid hemorrhage has remained a leading cause of delayed morbidity and mortality. Neurologic improvement, defined as improvement in the Hunt and Hess neurologic grading scale, has been shown in 60-80% of the patients so treated. (3) Local intraarterial fibrinolysis has been beneficial for patients with acute thromboembolic occlusion in both intracranial arteries and the cerebral dural sinuses. Preliminary studies indicate that early revascularization is associated with improved neurologic outcome. This review delineates the current state of the art in interventional neurovascular techniques for treating patients with stroke in evolution and patients with signs and symptoms of impending stroke due to vascular stenosis or occlusion. These techniques for cerebral revascularization are under investigation as potential life-saving therapy when conventional medical or surgical treatment has failed. As more experience is gained, the results of controlled clinical trials become available, andtechnical improvements evolve, these procedures will decrease the morbidity and mortality associated with strokes.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 21/09/20 alle ore 06:25:04