Combined endovascular therapy of ruptured aneurysms and cerebral vasospasm |
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Authors: | I Wanke A Dörfler U Dietrich T Aalders M Forsting |
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Institution: | (1) Department of Neuroradiology and Department of Neurosurgery, University of Essen, Hufelandstrasse 55, Essen D-45122, Germany, DE |
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Abstract: | We describe two patients with subarachnoid haemorrhage due to a ruptured intracranial aneurysm and severe symptomatic vasospasm.
The aneurysm was occluded with detachable coils followed by intra-arterial infusion of papaverine to treat vasospasm as an
one-stage procedure. There was significant resolution of the vasospasm. The long-term clinical outcome in one patient was
excellent, the other still has minor deficits. Combined endovascular aneurysm therapy followed by intra-arterial spasmolysis
with papaverine is a technically feasable therapeutic alternative in patients with symptomatic vasospasm.
Received: 5 November 1999/Accepted: 12 July 2000 |
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Keywords: | Aneurysm intracranial Haemorrhage subarachnoid Vasospasm Embolisation Spasmolysis intra-arterial |
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