지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2011.1
- 수록면
- 157 - 162 (6page)
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초록· 키워드
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Objective : Vasospasm of cerebral vessels remains a major source of morbidity and mortality after an aneurysmal subarachnoid hemorrhage (SAH). The purpose of this study was to evaluate the safety and efficacy of transluminal balloon angioplasty (TBA) for SAH-induced vasospasm. Methods : Eleven patients with an angiographically confirmed significant vasospasm (>50% vessel narrowing and clinical deterioration) were studied. A total of 54 vessel segments with significant vasospasm were treated by TBA. Digital subtraction angiography was used to confirm the presence of vasospasm, and TBA was performed to dilate vasospastic arteries. Medical and angiographic reports were reviewed to determine technical efficacy and for procedural complications. Results : TBA using Hyper-Glide or Hyper-Form balloons (MicroTherapeutics, Irvine, CA) was successfully accomplished in 88.9% vasospastic segments (48 of 54), namely, in the distal internal carotid artery (100%, n=7), the middle cerebral artery (100%), including the M1 (n=10), M2 (n=10), and M3 segments (n=4), in the vertebral artery (100%, n=2), basilar artery (100%, n=1), and in the anterior cerebral artery (ACA), including the A1 (66%), A2 (66%), and A3 segments (100%). Vessel diameters significantly increased after TBA. There were no cases of vessel rupture or thromboembolic complications. GCS at one day after TBA showed an improvement in all patients except one. Conclusion : This study suggests that TBA using Hyper-Glide or Hyper-Form balloons is a safe and effective treatment for subarachnoid hemorrhage-induced cerebral vasospasm.
목차
등록된 정보가 없습니다.
참고문헌 (28)
참고문헌 신청
Beck J / 2006 / Effects of Balloon angioplasty on perfusion and diffusion weighted magnetic resonance imaging results and outcome in patients with cerebral vasospasm / J Neurosurg 105:220~227
Biondi A / 2007 / Intra-arterial nimodipine for the treatment of symptomatic cerebral vasospasm after aneurysmal subarachnoid hemorrhage : preliminary results / AJNR Am J Neuroradiol 25:1067~1076
Böker DK / 1985 / Immediate postangiographic intraarterial treatment of cerebral vasospasm after subarachnoid hemorrhage with nimodipine. Report on 3 cases / Neurochirurgia (Stuttg) 28:118~120
Bracard S / 1999 / Management of vasospasm from subarachnoid hemorrhage : attitude of French centers-French Society of Neuroradiology / J Neuroradiol 26:44~S47
Chan PD / 1995 / Pharmacological and morphological effects of in vitro transluminal balloon angioplasty on normal and vasospastic canine basilar arteries / J Neurosurg 83:522~530
Biondi A / 2007 / Intra-arterial nimodipine for the treatment of symptomatic cerebral vasospasm after aneurysmal subarachnoid hemorrhage : preliminary results / AJNR Am J Neuroradiol 25:1067~1076
Böker DK / 1985 / Immediate postangiographic intraarterial treatment of cerebral vasospasm after subarachnoid hemorrhage with nimodipine. Report on 3 cases / Neurochirurgia (Stuttg) 28:118~120
Bracard S / 1999 / Management of vasospasm from subarachnoid hemorrhage : attitude of French centers-French Society of Neuroradiology / J Neuroradiol 26:44~S47
Chan PD / 1995 / Pharmacological and morphological effects of in vitro transluminal balloon angioplasty on normal and vasospastic canine basilar arteries / J Neurosurg 83:522~530
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