Transluminal angioplasty for treatment of intracranial arterial vasospasm.

Abstract:

:Percutaneous transluminal angioplasty for treatment of intracerebral arterial vasospasm is now being performed in selected cases. Thirty-six vascular territories in 13 patients, ranging in age from 15 to 73 years, have been treated with a new silicone microballoon device. This balloon has allowed mechanical dilatation of segmental and diffuse areas of spastic intracerebral blood vessels less than 1 mm in diameter with return to normal luminal diameter. Follow-up angiography has documented improved cerebral perfusion without return of spasm. In 10 patients (77%), vasospasm was due to subarachnoid hemorrhage following rupture of an intracranial aneurysm. In three patients (23%), spasm with resultant neurological decline occurred during detachable balloon embolization therapy for treatment of an aneurysm. In each case, the vessel caliber returned to normal size following balloon dilatation. In nine (69%) of the 13 cases, balloon dilatation resulted in improvement of neurological function within minutes to hours following the procedure. Transluminal angioplasty techniques may offer an alternative form of therapy in the management of symptomatic arterial vasospasm.

journal_name

J Neurosurg

journal_title

Journal of neurosurgery

authors

Higashida RT,Halbach VV,Cahan LD,Brant-Zawadzki M,Barnwell S,Dowd C,Hieshima GB

doi

10.3171/jns.1989.71.5.0648

subject

Has Abstract

pub_date

1989-11-01 00:00:00

pages

648-53

issue

5 Pt 1

eissn

0022-3085

issn

1933-0693

journal_volume

71

pub_type

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