Skip to main content

Angioplasty of Vasospasm

  • Chapter
Interventional Neuroradiology

Part of the book series: Medical Radiology ((Med Radiol Diagn Imaging))

Abstract

The morbidity and mortality from subarachnoid hemorrhage are extraordinarily high. In the first 3 months following a hemorrhage the mortality exceeds 50% (Allcock and Drake 1965; Graf and Nibbelink 1974). Among those who survive, fully two-thirds never regain the quality of life that they had prior to the hemorrhage (Mullan 1975; Ropper and Zervas 1984; Sah et al. 1969). Symptomatic vasospasm occurs in one-third of those who survive the initial hemorrhage (Allcock and Drake 1965; Mullan 1975). In 1984, Zubkov et al. first reported the successful treatment of vasospasm by transluminal angioplasty. Additional reports subsequently confirmed these initial encouraging results (Eskridge 1989; Newell et al. 1989; Higashida et al. 1989).

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 109.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 139.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Similar content being viewed by others

References

  • Aaslid R et al. (1982) Noninvasive transcranial Doppler ultrasound recording of flow velocity in basal cerebral arteries. J Neurosurg 57:769–774

    Article  PubMed  CAS  Google Scholar 

  • Aaslid R et al. (1984) Evaluation of cerebrovascular spasm with transcranial Doppler ultrasound. J Neurosurg 60:37–41

    Article  PubMed  CAS  Google Scholar 

  • Adams HP et al. (1987) Predicting cerebral ischemia after aneurysmal subarachnoid hemorrhage: influences of clinical condition, CT results, and antifibrinolytic therapy. A report of the cooperative aneurysm study. Neurology 37:1586–1591

    PubMed  Google Scholar 

  • Alksne JF (1974) Myonecrosis in chronic experimental vasospasm. Surgery 76:1–7

    PubMed  CAS  Google Scholar 

  • Alksne F, Greenhoot M (1974) Experimental cate-cholamine-induced chronic cerebral vasospasm: myonecrosis in vessel wall. J Neurosurg 41:440–445

    Article  PubMed  CAS  Google Scholar 

  • Allcock JM, Drake CG (1965) Ruptured intracranial aneurysms — the role of arterial spasm. J Neurosurg 22:21–29

    Article  PubMed  CAS  Google Scholar 

  • Allen GS et al. (1983) Cerebral arterial spasm — a controlled trial of nimodipine in patients with subarachnoid hemorrhage. N Engl J Med 308:619–624

    Article  PubMed  CAS  Google Scholar 

  • Barker FG, Heros RC (1990) Clinical aspects of vasospasm. Neurosurg Clin North Am 1:277–288

    Google Scholar 

  • Duff TA et al. (1988) Erythrocytes are essential for development of cerebral vasculopathy resulting from subarachnoid hemorrhage in cats. Stroke 1:68–72

    Article  Google Scholar 

  • Echlin FA (1965) Spasm of basilar and vertebral arteries caused by experimental subarachnoid hemorrhage. J Neurosurg 23:1–11

    Article  PubMed  CAS  Google Scholar 

  • Echlin FA (1971) Experimental vasospasm, acute and chronic, due to blood in the subarachnoid space. J Neurosurg 35:646–656

    Article  PubMed  CAS  Google Scholar 

  • Ecker A, Riemenschneider PA (1951) Arteriographic demonstration of spasm of the intercranial arteries with special reference to saccular arterial aneurysms. J Neurosurg 8:660–667

    Article  PubMed  CAS  Google Scholar 

  • Eskridge JM (1989) Interventional neuroradiology. Radiology 172:991–1006

    PubMed  CAS  Google Scholar 

  • Eskridge JM et al. (1990) Transluminal angioplasty for treatment of vasospasm. Neurosurg Clin North Am 1:387–400

    CAS  Google Scholar 

  • Fein JM et al. (1974) Sequential changes of vascular ultrastructure in experimental cerebral vasospasm. J Neurosurg 41:49–58

    Article  PubMed  CAS  Google Scholar 

  • Fisher CM (1975) Clinical syndromes in cerebral thrombosis, hypertensive hemorrhage, and ruptured saccular aneurysm. Clin Neurosurg 22:117–147

    PubMed  CAS  Google Scholar 

  • Fisher CM et al. (1980) Relation of cerebral vasospasm to subarachnoid hemorrhage visualized by computerized tomographic scanning. Neurosurgery 6:1–9

    Article  PubMed  CAS  Google Scholar 

  • Folkow B (1982) Physiologic aspects of primary hypertension. Physiol Rev 62:347–503

    PubMed  CAS  Google Scholar 

  • Graf CJ, Nibbelink DW (1974) Cooperative study of intracranial aneurysms and subarachnoid hemorrhage: report on a randomized treatment study. Stroke 5: 559–601

    Article  Google Scholar 

  • Gull W (1859) Cases of aneurism of the cerebral vessels. Guy’s Hosp Rep 5:281–304

    Google Scholar 

  • Harders AG, Gilsbach JM (1987) Time course of blood velocity changes related to vasospasm in the circle of Willis measured by transcranial Doppler ultrasound. J Neurosurg 66:718–728

    Article  PubMed  CAS  Google Scholar 

  • Heros RC et al. (1983) Cerebral vasospasm after subarachnoid hemorrhage: an update. Ann Neurol 14:599–608

    Article  PubMed  CAS  Google Scholar 

  • Higashida RT et al. (1989) Transluminal angioplasty for treatment of intracranial arterial vasospasm. J Neurosurg 71:648–653

    Article  PubMed  CAS  Google Scholar 

  • Hughes JT, Schianchi PM (1978) Cerebral artery spasm: a histological study at necropsy of the blood vessels in cases of subarachnoid hemorrhage. J Neurosurg 48: 515–525

    Article  PubMed  CAS  Google Scholar 

  • Hunt WE, Hess RM (1968) Surgical risk as related to time of intervention in the repair of intracranial aneurysms. J Neurosurg 28:14–20

    Article  PubMed  CAS  Google Scholar 

  • Jennett B, Bond M (1975) Assessment of outcome after severe brain damage. Lancet I:480–484

    Article  Google Scholar 

  • Kistler JP et al. (1983) The relation of cerebral vasospasm to the extent and location of subarachnoid blood visualized by CT scan: a prospective study. Neurology 33:424–436

    PubMed  CAS  Google Scholar 

  • Kwak R et al. (1979) Angiographic study of cerebral vasospasm following rupture of intracranial aneurysms: part I. Time of the appearance. Surg Neurol 11:257–262

    PubMed  CAS  Google Scholar 

  • Liszczak TM et al. (1983) Cerebral arterial constriction after experimental subarachnoid hemorrhage is associated with blood components within the arterial wall. J Neurosurg 58:18–26

    Article  PubMed  CAS  Google Scholar 

  • Mayberg MR et al. (1978) Ultrastructural changes in feline arterial endothelium following subarachnoid hemorrhage. J Neurosurg 48:49–57

    Article  PubMed  CAS  Google Scholar 

  • Mizukami M et al. (1982) Prevention of vasospasm by early operation with removal of subarachnoid blood. Neurosurgery 10:301–307

    Article  PubMed  CAS  Google Scholar 

  • Morawetz RB et al. (1979) Regional cerebral blood flow thresholds during cerebral ischemia. Fed Proc 38: 2493–2494

    PubMed  CAS  Google Scholar 

  • Mullan S (1975) Conservative management of the recently ruptured aneurysm. Surg Neurol 3:27–32

    PubMed  CAS  Google Scholar 

  • Newell DW et al. (1989) Angioplasty for the treatment of symptomatic vasospasm following subarachnoid hemorrhage. J Neurosurg 71:654–660

    Article  PubMed  CAS  Google Scholar 

  • Owada K et al. (1977) Cervical sympathectomy for cerebral ischemic lesions; a follow-up study. Tohoku Med J (Sendai) 90:183

    Google Scholar 

  • Owada K, Hori S, Suzuki J (1979) Results of cervical sympathectomy for cerebral vasospasm following aneurysmal rupture. In: Suzuki J (ed) Cerebral aneurysms. Neuron, Sendai, p 435

    Google Scholar 

  • Philippon J et al. (1986) Prevention of vasospasm in subarachnoid haemorrhage. A controlled study with nimodipine. Acta Neurochir (Wien) 82:110–114

    Article  CAS  Google Scholar 

  • Plum F, Posner J (1980) Diagnosis of stupor and coma 3rd edn. FA Davis, Philadelphia

    Google Scholar 

  • Robertson E (1949) Cerebral lesions due to intracranial aneurysms. Brain 72:150–185

    Article  PubMed  CAS  Google Scholar 

  • Ropper AH, Zervas NT (1984) Outcome 1 year after SAH from cerebral aneurysm. J Neurosurg 60:909–915

    Article  PubMed  CAS  Google Scholar 

  • Sah A et al. (1969) Intracranial aneurysms and subarachnoid hemorrhage. Philadelphia, JB Lippincott

    Google Scholar 

  • Saito I, Sano K (1980) Vasospasm after aneurysm rupture: incidence, onset, and course. In: Wilkins RH (ed) Cerebral arterial spasm: proceedings of the Second International Workshop, Amsterdam, the Netherlands 1979. Williams & Wilkins 1980, pp 294–301

    Google Scholar 

  • Simeone FA, Trepper P (1972) Cerebral vasospasm with infarction. Stroke 3:449–455

    Article  PubMed  CAS  Google Scholar 

  • Stornelli SA, French JD (1964) Subarachnoid hemorrhage — factors in prognosis and management. J Neurosurg 21:769–780

    Article  PubMed  CAS  Google Scholar 

  • Sundt TM Jr (1975) Chemical management of cerebral vasospasm. In: Whisnant JP, Sandoc BA (eds) Cerebral vascular disease, proceedings of the 9th Princeton Conference, 1974. Grune & Stratton, New York, p 77

    Google Scholar 

  • Tanabe Y et al. (1978) Cerebral vasospasm and ultra-structural changes in cerebral arterial wall. J Neurosurg 49:229–238

    Article  PubMed  CAS  Google Scholar 

  • Tanishima T (1980) Cerebral vasospasm: contractile activity of hemoglobin in isolated canine basilar arteries. J Neurosurg 53:787–793

    Article  PubMed  CAS  Google Scholar 

  • Varsos VG et al. (1983) Delayed cerebral vasospasm is not reversible by aminophylline, nifedipine or papavarine in a “two-hemorrhage” canine model. J Neurosurg 58:11–17

    Article  PubMed  CAS  Google Scholar 

  • Wilkins RH (1979) Attempted prevention or treatment of intracranial arterial spasm: a survey. In: Wilkins RH (ed) Cerebral arterial spasm. Williams and Wilkins, Baltimore, p 542

    Google Scholar 

  • Zervas NT et al. (1982) Cerebrospinal fluid may nourish cerebral vessels through pathways in the adventitia that may be analogous to systemic vasa vasorum. J Neurosurg 56:475–481

    Article  PubMed  CAS  Google Scholar 

  • Zubkov YN et al. (1984) Balloon catheter technique for dilatation of constricted cerebral arteries after aneurysmal SAH. Acta Neurochir (Wien) 70:65–79

    Article  CAS  Google Scholar 

  • Zucker MB (1944) A study of the substances in blood serum and platelets which stimulate smooth muscle. Am J Physiol 142:12–26

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1993 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Eskridge, J.M. (1993). Angioplasty of Vasospasm. In: Valavanis, A. (eds) Interventional Neuroradiology. Medical Radiology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-84434-8_8

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-84434-8_8

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-84436-2

  • Online ISBN: 978-3-642-84434-8

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics