Acta Neurochirurgica

, Volume 70, Issue 1, pp 65–79

Balloon catheter technique for dilatation of constricted cerebral arteries after aneurysmal SAH

Authors

  • Y. N. Zubkov
    • A. L. Polenov Neurosurgical Institute
  • B. M. Nikiforov
    • A. L. Polenov Neurosurgical Institute
  • V. A. Shustin
    • A. L. Polenov Neurosurgical Institute
Article

DOI: 10.1007/BF01406044

Cite this article as:
Zubkov, Y.N., Nikiforov, B.M. & Shustin, V.A. Acta neurochir (1984) 70: 65. doi:10.1007/BF01406044

Summary

The authors describe the technique and explain the reason for the use of an intravascular balloon catheter technique in the treatment of vasospasm in cases of subarachnoid haemorrhage due to rupture of a cerebral aneurysm.

In 33 patients with SAH 105 major cerebral arteries were dilated (in the system of internal carotid and basilar arteries). Only in one case vasodilatation could not be accomplished. The effect of dilatation of vasospastic arteries was stable and the functional state of the brain was ameliorated, local and general cerebral disfunctional signs and symptoms due to vasospasm regressed.

The authors discuss indications and contraindications for intravascular balloon dilatation of spastic arteries, the time for the operation, the length of arteries to be dilated, and the possible mechanism of amelioration of cerebral blood flow to the brain stem.

Keywords

Subarachnoid haemorrhagecerebral aneurysmvasospasmballoon catheter techniqueintravascular stretching
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Copyright information

© Springer-Verlag 1984