Repeat intra-arterial papaverine for recurrent cerebral vasospasm after subarachnoid haemorrhage

被引:35
|
作者
Numaguchi, Y
Zoarski, GH
Clouston, JE
Zagardo, MT
Simard, JM
Aldrich, EF
Sloan, MA
Maurer, PK
Okawara, SH
机构
[1] UNIV ROCHESTER, MED CTR, DEPT NEUROL SURG, ROCHESTER, NY 14642 USA
[2] UNIV MARYLAND, DIV NEUROL SURG, BALTIMORE, MD 21201 USA
[3] UNIV MARYLAND, DEPT NEUROL, BALTIMORE, MD 21201 USA
[4] WESLEY COLL HOSP, DEPT RADIOL, BRISBANE, QLD, AUSTRALIA
关键词
interventional neuroradiology; papaverine; subarachnoid haemorrhage; vasospasm;
D O I
10.1007/s002340050501
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
We assessed the prevalence of recurrent vasospasm following failure of intra-arterial papa verine and the efficacy of repeat intra-arterial infusions of papaverine for control of recurrent vasospasm. Of 24 patients treated with intra-arterial papaverine for vasospasm following aneurysm surgery, 12 did not improve clinically after the initial treatment; 9 received second or third infusions on consecutive days; 6 received only a second infusion; and 3 received a third. Superselective infusion into the intracranial arteries was performed in all nine cases. Despite angiographic improvement after the initial or second infusions, all nine patients showed varying degrees of recurrent vasospasm at the time of the second or third treatment. Within 24 h of a second infusion, three of the six patients had significant clinical improvement, and one of these showed marked improvement soon after a third infusion. Our preliminary results suggest that repeat papaverine infusion may be a way of controlling recurrent or recalcitrant vasospasm.
引用
收藏
页码:751 / 759
页数:9
相关论文
共 50 条
  • [1] Repeat intra-arterial papaverine for recurrent cerebral vasospasm after subarachnoid haemorrhage
    Y. Numaguchi
    G. H. Zoarski
    J. E. Clouston
    M. T. Zagardo
    J. M. Simard
    E. F. Aldrich
    M. A. Sloan
    P. K. Maurer
    S. H. Okawara
    Neuroradiology, 1997, 39 : 751 - 759
  • [2] Intra-arterial papaverine for the treatment of cerebral vasospasm following aneurysmal subarachnoid hemorrhage
    Firlik, KS
    Kaufmann, AM
    Firlik, AD
    Jungreis, CA
    Yonas, H
    SURGICAL NEUROLOGY, 1999, 51 (01): : 66 - 74
  • [3] Neurotoxicity of intra-arterial papaverine preserved with chlorobutanol used for the treatment of cerebral vasospasm after aneurysmal subarachnoid hemorrhage
    Smith, WS
    Dowd, CF
    Johnston, C
    Ko, NU
    DeArmond, SJ
    Dillon, WP
    Setty, D
    Lawton, MT
    Young, WL
    Higashida, RT
    Halbach, VV
    STROKE, 2004, 35 (11) : 2518 - 2522
  • [4] Technical considerations on intra-arterial papaverine hydrochloride for cerebral vasospasm
    Mathis, JM
    Jensen, ME
    Dion, JE
    NEURORADIOLOGY, 1997, 39 (02) : 90 - 98
  • [5] Effects of intra-arterial papaverine on the chronic period of cerebral arterial vasospasm in rats
    Kazan, S
    ACTA NEUROLOGICA SCANDINAVICA, 1998, 98 (05): : 354 - 359
  • [6] Intra-arterial nimodipine for severe cerebral vasospasm after aneurysmal subarachnoid haemorrhage - neurological and radiological outcome
    Samuelsson, Jennifer
    Sunila, Merete
    Rentzos, Alexandros
    Nilsson, Daniel
    NEURORADIOLOGY JOURNAL, 2022, 35 (02): : 213 - 219
  • [7] Technical considerations on intra-arterial papaverine hydrochloride for cerebral vasospasm
    J. M. Mathis
    M. E. Jensen
    J. E. Dion
    Neuroradiology, 1997, 39 : 90 - 98
  • [8] Intra-arterial colforsin daropate for the treatment of cerebral vasospasm after aneurysmal subarachnoid hemorrhage
    Suzuki, Satoshi
    Ito, Osamu
    Sayama, Tetsuro
    Goto, Katsuya
    NEURORADIOLOGY, 2010, 52 (09) : 837 - 845
  • [9] Intra-arterial nimodipine for cerebral vasospasm after subarachnoid haemorrhage: Influence on clinical course and predictors of clinical outcome
    Bashir, Asma
    Andresen, Morten
    Bartek, Jiri, Jr.
    Cortsen, Marie
    Eskesen, Vagn
    Wagner, Aase
    NEURORADIOLOGY JOURNAL, 2016, 29 (01): : 72 - 81
  • [10] Intra-arterial Dantrolene for Refractory Cerebral Vasospasm After Aneurysmal Subarachnoid Hemorrhage
    Majidi, Shahram
    Grigoryan, Mikayel
    Tekle, Wondwossen G.
    Qureshi, Adnan I.
    NEUROCRITICAL CARE, 2012, 17 (02) : 245 - 249