Intra-arterial Papaverine Treatment for Cerebral Vasospasm:Our Experience and Review of the Literature
スポンサーリンク
概要
- 論文の詳細を見る
We described the techniques and efficacy of intra-arterial papaverine hydrochloride infusion (IA-PAP) for symptomatic vasospasm due to aneurysmal subarachnoid hemorrhage based on our experience and review of the literature. Angiographic improvement occurred almost always, but only 50% of patients who presented with acute symptoms showed remarkable clinical improvement after the first, second, or third IA-PAP. Recurrent vasospasm after IA-PAP frequently occurred and this seems to be an apparent source of controversy regarding its efficacy. Review of the literature indicates that IA-PAP may be most effective in combination with percutaneous transluminal angioplasty. Further controlled studies should be conducted regarding papaverine's true efficacy including most effective papaverine concentration and rate of infusion, maximum total dose, site of infusion, timing of treatment, and selection of patients.
- 日本脳神経外科学会の論文
- 1998-04-15
著者
-
Numaguchi Yuji
Department Of Diagnosis Radiology University Of Martland Medical System
-
Numaguchi Yuji
Department Of Radiology University Of Rochester Medical Center
-
Gregg H.ZOARSKI
Department of Radiology, University of Maryland Medical System
-
Gregg H.zoarski
Department Of Radiology University Of Maryland Medical System
関連論文
- PJ-268 Quantitative analysis of the coronary artery stent's inside diameter in 16 Slice MDCT(X-ray/CT/MRI/DSA4 (I) : PJ45)(Poster Session (Japanese))
- Radiological Features of Choroid Plexus Papillomas in Childhood
- Spinal Epidural Venous Plexus: Its MR Enhancement Patterns and Their Clinical Significance
- Non - Enhancing Supratentorial Malignant Astrocytomas : MR Features and Possible Mechanisms
- MR Imaging of Adult Supratentorial Astrocytomas : An Attempt of Semi - Automatic Grading
- Secondary Degeneration of the Substantia Nigra and Corticospinal Tract after Hemorrhagic Middle Cerebral Artery Infarction : Diffusion-weighted MR Findings
- Recurrent Intracranial Meningioma with Metastasis in the Skull A Case Report
- Preprocedural MR imaging for percutaneous vertebroplasty : special interest in contrast enhancement
- Reversible Symptomatic Venous Congestion after Treatment of Dural Arteriovenous Fistula Using NBCA
- Symptomatic Vertebral hemangioma: Atypical Spoke-Wheel Trabeculation Pattern
- Meningiomas in Childhood and Adolescence
- Intra-arterial Papaverine Treatment for Cerebral Vasospasm:Our Experience and Review of the Literature
- Spinal Subdural Hematoma Mimicking Epidural Lipomatosis