当前位置： SCI文献检索 > CLINICAL NEUROLOGY AND NEUROSURGERY期刊下所有文献 > Transluminal balloon angioplasty for cerebral vasospasm after spontaneous subarachnoid hemorrhage: A single-center experience.

Transluminal balloon angioplasty for cerebral vasospasm after spontaneous subarachnoid hemorrhage: A single-center experience.

Abstract：

OBJECTIVES:After spontaneous subarachnoid hemorrhage (sSAH), cerebral vasospasm (CVS) is a common complication, potentially resulting in infarction mainly responsible for a poor outcome. Intra-arterial vasodilators lead to transient increase of brain perfusion, but only transluminal balloon angioplasty (TBA) promises longer-lasting effects, though it poses the risk of severe complications. Until now, the precise impact of TBA on the course of CVS is not yet finally clarified. Thus we aimed to identify risk factors of recurrent CVS and vasospasm-related infarction following TBA. PATIENTS AND METHODS:We analyzed 35 patients with CVS after sSAH who received TBA (41 procedures, 99 vessel segments). Gender, age, WFNS grade and Fisher scale, occurrence of intraventricular and intracerebral hemorrhage, localization of the aneurysm and the initial treatment modality were obtained. We assessed functional outcome after 3 months and in-hospital mortality. TBA was analyzed concerning time point, localization, technique, complications and angiographic response. Furthermore, recurrence of CVS and vasospasm-related infarction after TBA were described and risk factors were identified with logistic regression analyses. RESULTS:In 7 of 35 patients (20%) and in 16 of 99 vessel segments (16%) previously treated with TBA, we found recurrent CVS. Vasospasm-related infarction occurred in 18 cases (18%) in the arterial territories of the TBA-treated vessel segments. The angiographic effect after TBA was mostly classified as good (87%), good response was negatively associated with recurrent CVS (p = 0.004) and vasospasm-related infarction (p = 0.001). We identified only the male gender as a risk factor for vasospasm-related infarction after TBA (p = 0.040). In connection with TBA, only one complication occurred (intracranial dissection). CONCLUSION:Our data support TBA as a safe and effective therapy for CVS. Nevertheless, recurrent CVS and vasospasm-related infarction were common after TBA and not predictable by clinical conditions on admission or the localization of CVS. A moderate or poor angiographic response after TBA was identified as a risk factor for both, recurrent CVS and vasospasm-related infarction, while male gender was associated with a higher risk of vasospasm-related infarction. Our results augment the still sparse evidence concerning optimal patient selection for this method and provide new aspects for individual therapy decisions.

journal_name

Clin Neurol Neurosurg

journal_title

Clinical neurology and neurosurgery

authors

Schacht H,Küchler J,Boppel T,Leppert J,Ditz C,Schramm P,Neumann A

doi

10.1016/j.clineuro.2019.105590

subject

Has Abstract

pub_date

2020-01-01 00:00:00

pages

105590

eissn

0303-8467

issn

1872-6968

pii

S0303-8467(19)30386-5

journal_volume

188

pub_type

杂志文章

相关文献

CLINICAL NEUROLOGY AND NEUROSURGERY文献大全
  • Clinical and radiological observation in a surgical series of 36 cases of fibrous dysplasia of the skull.

    abstract：OBJECTIVES:To describe the clinical and radiological findings in a consecutive series of patients diagnosed with fibrous dysplasia of the skull. PATIENTS AND METHODS:A retrospective analysis of collected data for 36 patients with histopathologically confirmed fibrous dysplasia involving the skull is presented. The dem...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.clineuro.2011.10.026

    authors： Cai M,Ma L,Xu G,Gruen P,Li J,Yang M,Pan L,Guan H,Chen G,Gong J,Hu J,Qin S

    更新日期：2012-04-01 00:00:00

  • Persistent posterior fossa ependymomas. Two case reports with unusual long survival.

    abstract：:Two patients are described who survived respectively 33 and 21 years after partial surgical excision of a posterior fossa ependymoma and who at the time of autopsy were proven to harbor persistent tumour tissue in the same location. ...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章

    doi：10.1016/s0303-8467(75)80048-5

    authors： Slooff JL

    更新日期：1975-01-01 00:00:00

  • Profiling of novel circulating microRNAs as a non-invasive biomarker in diagnosis and follow-up of high and low-grade gliomas.

    abstract：OBJECTIVE:Glioblastoma (GBM) is the most common primary malignant neoplasm of the central nervous system (CNS). Despite the progress in therapeutic strategies such as surgical techniques, radiotherapy, chemotherapy, and targeted therapy, prognosis and therapeutically convenient monitoring tools in patients with GBM has...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.clineuro.2019.105652

    authors： Tabibkhooei A,Izadpanahi M,Arab A,Zare-Mirzaei A,Minaeian S,Rostami A,Mohsenian A

    更新日期：2020-03-01 00:00:00

  • The prognostic value of spirometric tests in Amyotrophic Lateral Sclerosis patients.

    abstract：OBJECTIVE:Amyotrophic lateral sclerosis (ALS) patients tend to develop progressive respiratory muscle weakness, leading to ventilatory failure and ineffective cough, principal causes of morbidity and mortality. Since patients are usually unaware of these symptoms, these are generally not noticed until the advanced stag...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.clineuro.2019.105456

    authors： Pirola A,De Mattia E,Lizio A,Sannicolò G,Carraro E,Rao F,Sansone V,Lunetta C

    更新日期：2019-09-01 00:00:00

  • Feasibility and limitations of C1 lateral mass screw placement in patients of atlas assimilation.

    abstract：BACKGROUND:C1 lateral mass is a common place for screw fixation in normal anatomy; whereas there is no research about whether screw placement is suitable in patients of C1 assimilation (C1A). OBJECTIVE:To study the feasibility and limitations of C1 lateral mass screw placement in patients with C1A. PATIENTS AND METHO...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.clineuro.2011.12.017

    authors： Jian FZ,Su CH,Chen Z,Wang XW,Ling F

    更新日期：2012-07-01 00:00:00

  • Outcome and complications of chronically implanted subdural electrodes for the treatment of medically resistant epilepsy.

    abstract：BACKGROUND:Surgery for medically resistant epilepsy is safe and effective. However, when noninvasive techniques are insufficient, then consideration is given to invasive electrocorticography (EcoG). OBJECTIVE:The aim of the study was to analyze results and complications of subdural electrodes placement in the treatmen...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.clineuro.2012.10.007

    authors： Vale FL,Pollock G,Dionisio J,Benbadis SR,Tatum WO

    更新日期：2013-07-01 00:00:00

  • Relevance of calcification and contrast enhancement pattern for molecular diagnosis and survival prediction of gliomas based on the 2016 World Health Organization Classification.

    abstract：OBJECTIVES:The significance of conventional neuroimaging features for predicting molecular diagnosis and patient survival based on the updated World Health Organization (WHO) classification remains uncertain. We assessed the relevance of neuroimaging features (ring enhancement [RE], non-ring enhancement [non-RE], overa...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.clineuro.2019.105556

    authors： Michiwaki Y,Hata N,Mizoguchi M,Hiwatashi A,Kuga D,Hatae R,Akagi Y,Amemiya T,Fujioka Y,Togao O,Suzuki SO,Yoshimoto K,Iwaki T,Iihara K

    更新日期：2019-12-01 00:00:00

  • Complications of the chronic subdural hematoma.

    abstract：:Eighty three chronic subdural hematomas, obtained by surgery or by necropsy, were examinated. The patient age distribution curve of the non-complicated operative cases showed the highest incidence in the first year of life and also a moderate increase in the elderly group. Recurrent hemorrhage in the walls and in the ...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章

    doi：10.1016/s0303-8467(76)80051-0

    authors： Reuck JD,Roels H,Eecken H

    更新日期：1976-01-01 00:00:00

  • Glioblastoma multiforme at the corpus callosum with spinal leptomeningeal metastasis.

    abstract：:Glioblastoma multiforme (GBM) often occurs in the supratentorial white matter including corpus callosum. However, spinal leptomeningeal metastasis in cases of supratentorial GBM has been reported to be rare and there is usually a long interval between the cerebral lesion and the spinal seeding. We report here a case o...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.clineuro.2010.12.001

    authors： Witoonpanich P,Bamrungrak K,Jinawath A,Wongwaisayawan S,Phudhichareonrat S,Witoonpanich R

    更新日期：2011-06-01 00:00:00

  • Dementia associated with hyperphosphatemic tumoral calcinosis.

    abstract：:Hyperphosphatemic tumoral calcinosis (HTC) is a rare inherited metabolic disorder manifested by pararticular calcification and hyperphosphatemia, caused by an elevated renal phosphate reabsorption threshold and elevated serum 1,25-dihydroxyvitamin D levels. The disorder usually affects African-American subjects, but h...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章

    doi：10.1016/s0303-8467(98)00010-9

    authors： Beck DA,Gray L,Lyles KW

    更新日期：1998-06-01 00:00:00

  • Risk of hemorrhage in ischemic stroke and its relationship with cerebral microbleeds.

    abstract：OBJECTIVES:Stroke is an important public health problem in most countries. Therefore, the treatment of stroke and its complications is important. Intracerebral hemorrhage is one of the complications of ischemic stroke. This study aimed to investigate the risk of hemorrhage in patients with acute ischemic stroke and pro...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.clineuro.2018.03.007

    authors： Ozbek D,Ozturk Tan O,Ekinci G,Midi I

    更新日期：2018-05-01 00:00:00

  • Anxiety, memories and coping in patients undergoing intracranial tumor surgery.

    abstract：OBJECTIVES:The diagnosis and the surgical removal of a brain tumor can have serious impact on the quality of life of a patient. The question rises, whether having more or just less memories of the procedure is better for coping with such an event. Furthermore, for preoperative information of future patients it is impor...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.clineuro.2018.05.013

    authors： van Ark TJ,Klimek M,de Smalen P,Vincent AJPE,Stolker RJ

    更新日期：2018-07-01 00:00:00

  • A follow-up study on outcomes of endoscopic transsphenoidal approach for acromegaly.

    abstract：OBJECTIVE:A thorough follow-up study in which the same clinic presents the change in the surgical outcomes of acromegaly over the years, is still lacking in the endoscopic era. In this study, we intended to evaluate the clinical characteristics, radiological features, surgical and late remission rates of newly diagnose...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.clineuro.2020.106201

    authors： Aydin S,Ozoner B,Sahin S,Alizada O,Comunoglu N,Oz B,Gazioglu N,Kadioglu P,Tanriover N

    更新日期：2020-11-01 00:00:00

  • Unilateral rhythmic testicular movements.

    abstract：:A male patient came to our clinic because of a continuous up and down movement of his right testis, which was present even during sleep. The nature and localization of the unilateral rhythmic cremasteric activity is investigated by electrophysiological methods. Investigations of the cremasteric muscles and genitofemor...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.clineuro.2010.05.013

    authors： Bademkiran F,Acarer A,Aydogdu I,Ertekin C

    更新日期：2010-10-01 00:00:00

  • Brain abscess--an unusual complication of cavernous sinus thrombosis. A case report.

    abstract：:An unusual case of multilocular brain abscess is reported in a 14-year-old girl, following cavernous sinus thrombosis. In absence of any other source of infection the cavernous sinus thrombosis is presumed as the cause of brain abscess. Possible pathogenesis is discussed. ...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章

    doi：10.1016/0303-8467(88)90029-7

    authors： Mahapatra AK

    更新日期：1988-01-01 00:00:00

  • Cognitive and functional impairments in ischemic stroke patients with concurrent small vessel and large artery disease.

    abstract：BACKGROUND AND PURPOSE:Concurrent small vessel, intracranial and extracranial large artery disease (SLAD) is common in Asian but its impact on cognitive and functional outcomes is unclear. We aimed to evaluate the clinical, cognitive and functional outcomes in ischemic stroke patients with SLAD. METHODS:Chinese ischem...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.clineuro.2011.04.001

    authors： Man BL,Fu YP,Wong A,Chan YY,Lam W,Hui AC,Leung WH,Mok V,Wong KS

    更新日期：2011-10-01 00:00:00

  • Aortic atheromas in stroke subgroups detected by multidetector computed tomographic angiography.

    abstract：BACKGROUND:The aim of this study was to investigate aortic atheromas in stroke subgroups. METHODS:Two hundred consecutive subjects had acute ischemic stroke confirmed by diffusion-weighted imaging (DWI) (195 cases) or computerized tomography (5 cases). Multidetector computed tomographic angiography (MDCTA) (16- or 64-...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.clineuro.2008.12.001

    authors： Kaya D,Yildiz E

    更新日期：2009-06-01 00:00:00

  • Giant intracranial mucocele.

    abstract：:A 21-year-old man was admitted to hospital because of recent anosmia and liquorrhoea. He also complained of moderate headache and concentration problems in the past few years. On CT scan and MRI scans a big subfrontal process was seen, partially solid and partially cystic. Neurosurgical and histological findings prove...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章

    doi：10.1016/0303-8467(94)00068-h

    authors： van Manen SR,Bosch DA,Peeters FL,Troost D

    更新日期：1995-05-01 00:00:00

  • Intracerebral cyst associated with meningioma.

    abstract：:A 27-year-old male had experienced an episode of severe headache and nausea, sometimes accompanied by an inability to name objects. Magnetic resonance imaging showed a huge cyst within the left temporal lobe and a high degree of brain shift by it. A small round mass, which appeared to be a mural nodule, was located in...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章

    doi：10.1016/s0303-8467(99)00059-1

    authors： Ueno Y,Tanaka A,Nakayama Y,Nomoto Y

    更新日期：1999-12-01 00:00:00

  • Intraventricular meningioma of the fourth ventricle.

    abstract：:A rare case of meningioma of the fourth ventricle is reported. A review of the literature revealed only 24 reported cases of this type of tumor. ...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章,评审

    doi：10.1016/0303-8467(92)90080-m

    authors： Ceylan S,Ilbay K,Kuzeylï K,Kalelïoğlu M,Aktürk F,Ozoran Y

    更新日期：1992-01-01 00:00:00

  • Trigeminal schwannomas: a report of 42 cases and review of the relevant surgical approaches.

    abstract：:This study aims to achieve the complete removal of trigeminal schwannoma (TS) while preserving cranial nerve function. We focused on the outcomes of different surgical approaches and address the contributions of different operative techniques. Forty-two TS cases, treated surgically in Qilu Hospital during a 12-year pe...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.clineuro.2008.10.014

    authors： Zhang L,Yang Y,Xu S,Wang J,Liu Y,Zhu S

    更新日期：2009-04-01 00:00:00

  • Risk factors for multiple intracranial aneurysms rupture: a retrospective study.

    abstract：BACKGROUND AND PURPOSE:The presence of predicting the rupture risk of intracranial aneurysms has recently generated considerable controversy. We retrospectively investigated the risk factors for multiple intracranial aneurysms related to rupture. METHODS:Between July 2007 and July 2011, 134 patients with 294 aneurysms...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.clineuro.2012.08.011

    authors： Lu HT,Tan HQ,Gu BX,Wu-Wang,Li MH

    更新日期：2013-06-01 00:00:00

  • Spinal cord stimulation in the treatment of complex regional pain syndrome type 1: Is trial truly required?

    abstract：OBJECTIVE:Spinal cord stimulation has been proven highly effective in the treatment of Complex Regional Pain Syndrome (CRPS). The definitive implantation of a neurostimulator is usually preceded by a therapeutic test (trial), which has the purpose of identifying whether the patient would respond positively to neuromodu...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.clineuro.2018.06.014

    authors： Risson EG,Serpa AP,Berger JJ,Koerbel RFH,Koerbel A

    更新日期：2018-08-01 00:00:00

  • Split cord malformation in adults: Literature review and classification.

    abstract：:The objective of this study was to summarize the available literature describing the presentation, diagnostic evaluation, and management for adults with Type 1 and Type 2 split spinal cord malformations. A review of the literature was performed using the CINAHL, PubMed, Embase, and Web of Science database, alongside a...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章,评审

    doi：10.1016/j.clineuro.2020.105733

    authors： Karim Ahmed A,Howell EP,Harward S,Sankey EW,Ehresman J,Schilling A,Wang T,Pennington Z,Gray L,Sciubba DM,Goodwin CR

    更新日期：2020-06-01 00:00:00

  • Demographic, radiographic, molecular and clinical characteristics of primary gliosarcoma and differences to glioblastoma.

    abstract：OBJECTIVE:Gliosarcoma (GSC) is a rare histological variant of glioblastoma (GBM). Due to limited evidence regarding clinical, genetic and radiographic characteristics of GSC, this study aimed to analyze independent outcome predictors of GSC, and to address the differences between GSC and GBM concerning the baseline cha...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.clineuro.2020.106348

    authors： Pierscianek D,Ahmadipour Y,Michel A,Rauschenbach L,Darkwah Oppong M,Deuschl C,Kebir S,Wrede KH,Glas M,Stuschke M,Sure U,Jabbarli R

    更新日期：2021-01-01 00:00:00

  • Interspinous spacer decompression (X-STOP) for lumbar spinal stenosis and degenerative disk disease: a multicenter study with a minimum 3-year follow-up.

    abstract：:Interspinous distraction devices provide an effective treatment for patients suffering from lumbar spinal stenosis and/or degenerative disk disease. The aim of this multicenter study was the prospective evaluation of patients treated for symptomatic lumbar spinal stenosis with interspinous process decompression (IPD) ...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章,多中心研究,随机对照试验

    doi：10.1016/j.clineuro.2014.07.004

    authors： Puzzilli F,Gazzeri R,Galarza M,Neroni M,Panagiotopoulos K,Bolognini A,Callovini G,Agrillo U,Alfieri A

    更新日期：2014-09-01 00:00:00

  • Spinal cordectomy: A new hope for morbid spinal conditions.

    abstract：:A spinal cordectomy is a treatment option for several disorders of the spinal cord like post-traumatic syringomyelia, spinal cord tumor and myelomeningocele. We have done a systematic analysis of all reported cases of spinal cordectomy to investigate the possible outcomes and complications. A PubMed search was perform...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章,评审

    doi：10.1016/j.clineuro.2016.11.003

    authors： Konar SK,Maiti TK,Bir SC,Nanda A

    更新日期：2017-01-01 00:00:00

  • SPECT in the diagnosis of Alzheimer's disease and multi-infarct-dementia.

    abstract：:SPECT with Tc-99m HM-PAO as a radiopharmaceutical was performed in 17 patients meeting research criteria for Alzheimer's disease (AD), in 10 patients with a clinical diagnosis of multi-infarct-dementia (MID) and in 12 healthy volunteers. Regional tracer uptake was measured in frontal, parietal, and temporoparietal reg...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章

    doi：10.1016/0303-8467(91)90007-c

    authors： Weinstein HC,Haan J,van Royen EO,Derix MM,Lanser JB,van der Zant F,Dunnewold RJ,van Kroonenburgh MJ,Pauwels EK,van der Velde EA

    更新日期：1991-01-01 00:00:00

  • Surgical treatment of traumatic carotid cavernous fistulas.

    abstract：:Six cases of traumatic corotid cavernous fistulae treated by a combination of trapping and embolization are reported. The advantages and disadvantages of various operative procedures in the treatment of carotid cavernous fistulas are discussed. In our opinion a combination of trapping and embolization has advantages o...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章

    doi：10.1016/s0303-8467(79)80024-4

    authors： Gökalp HZ,Ozkal E

    更新日期：1979-01-01 00:00:00

  • Potential opioid-related adverse events following spine surgery in elderly patients.

    abstract：OBJECTIVE:Understanding the clinical and economic impact of opioid-related adverse drug events (ORADEs) within spine surgery may guide both the clinician's and hospital administration's approach to treating perioperative pain, thus improving patient care and reducing hospital costs. The objective of this analysis is to...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.clineuro.2019.105550

    authors： Jones MR,Brovman EY,Novitch MB,Rao N,Urman RD

    更新日期：2019-11-01 00:00:00