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Titolo:
PERCUTANEOUS TRANSLUMINAL ANGIOPLASTY FOR CEREBRAL VASOSPASM AFTER SUBARACHNOID HEMORRHAGE
Autore:
COYNE TJ; MONTANERA WJ; MACDONALD RL; WALLACE MC;
Indirizzi:
TORONTO WESTERN HOSP,DIV NEUROSURG,SUITE 2-427,MCLAUGHLIN PAVIL,399 BATHURST ST TORONTO M5T 2S8 ON CANADA TORONTO WESTERN HOSP,DIV NEUROSURG TORONTO M5T 2S8 ON CANADA TORONTO WESTERN HOSP,DIV NEURORADIOL TORONTO M5T 2S8 ON CANADA UNIV TORONTO TORONTO ON CANADA
Titolo Testata:
Canadian journal of surgery
fascicolo: 5, volume: 37, anno: 1994,
pagine: 391 - 396
SICI:
0008-428X(1994)37:5<391:PTAFCV>2.0.ZU;2-4
Fonte:
ISI
Lingua:
ENG
Soggetto:
INTRACRANIAL ARTERIAL VASOSPASM; DILATATION; ANEURYSM;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
20
Recensione:
Indirizzi per estratti:
Citazione:
T.J. Coyne et al., "PERCUTANEOUS TRANSLUMINAL ANGIOPLASTY FOR CEREBRAL VASOSPASM AFTER SUBARACHNOID HEMORRHAGE", CAN J SURG, 37(5), 1994, pp. 391-396

Abstract

Objective: To assess the efficacy of percutaneous transluminal angioplasty. Design: A retrospective case study covering the period January 1990 to December 1992. Setting: A tertiary-care referral centre. Patients: Thirteen patients, ranging in age from 23 to 57 years, who had suffered an aneurysmal subarachnoid hemorrhage and subsequent symptomatic vasospasm that had not responded to aggressive medical therapy. Intervention: Percutaneous transluminal angioplasty of spastic cerebral arteries. Main Outcome Measures: Neurologic improvement (improved level of consciousness or resolution of focal deficit) immediately after angioplasty and functional status at 6 months after angioplasty. Results:Four (31%) patients showed neurologic improvement immediately after angioplasty. At 6 months, 5 (38%) of the 13 were independent, 2 (15%) were dependent (severely disabled), and 6 (46%) had died. Poor clinicalgrade at the time of angioplasty was associated with a poor outcome. Conclusions: Percutaneous transluminal angioplasty appears to be a safe procedure that is beneficial in some patients with symptomatic vasospasm refractory to aggressive hypervolemic, hypertensive therapy. The best results likely are obtained in patients of good clinical grade inwhom new neurologic deficits have not become established, and angioplasty should not be delayed if medical therapy does not rapidly reversethe symptoms of vasospasm.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 25/09/20 alle ore 10:08:20