Experience of treatment of vasospasm in patients with acute period of subarachnoid

DOI: https://doi.org/10.25512/DIR.2014.08.3.07

For quoting:
Voloduhin M.Y., Shpaner R.Ya., Shayahmetov N.G., Bayalieva A.Z., Alekseev A.G. "Experience of treatment of vasospasm in patients with acute period of subarachnoid". Journal Diagnostic & interventional radiology. 2014; 8(3); 62-65.

authors:

Voloduhin M.Y.

Shpaner R.Ya.

Shayahmetov N.G.

Bayalieva A.Z.

Alekseev A.G.

keywords:

subarachnoid hemorrhage

vascular vasospasm

intensive therapy SAH

Abstract:

Aim: was to submit a five-year experience in the treatment of vasospasm in patients after subarachnoid hemorrhage (SAH) due to rupture of a brain aneurysm.

Materials and methods: from 2007 to 2013 in clinic were operated 178 patients with acute SAH (87 patients underwent aneurysm clipping, 91 endovascular embolization).

Resavasospasm according to TCD was observed in 85% of patients. Mild vasospasm was observed in 55% , moderate in 31,8%, and 13,2% of patients had severe vasospasm. Chemical angioplasty was performed in 20 patients. Clinical manifestations of vasospasm in the form of ischemic neurological disorders observed in 8 patients. Five of them received balloon angioplasty of intracranial arteries. In 2 patients vasospasm was the cause of death. In 3 cases spasm was the cause of disability in the rough. In one case, when performing balloon angioplasty occurred fatal gap MCA.

Conclusion: treatment of vasospasm in patients with SAH remains a challenge and requires a comprehensive approach and multidisciplinary therapy.

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