Delayed progressive bilateral supraclinoid internal carotid artery stenosis in a patient with a ruptured basilar artery aneurysm

Safain, Mina G.; Malek, Adel M.

doi:10.1016/j.jocn.2014.06.101

Cited by 3 publications

(2 citation statements)

References 29 publications

(38 reference statements)

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“…The risk of vasospasm occurs later than the risk of rebleeding, classically between D4 and D15, but cases of later vasospasm have also been reported [22]. This risk correlates with the extent of the initial bleed and with Fisher classification [23].…”

Section: Subacute Complications (D3-d30): Vasospasmmentioning

confidence: 99%

Complications and follow up of subarachnoid hemorrhages

Danière

Gascou²,

Champfleur³

et al. 2015

Diagnostic and Interventional Imaging

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Complications of subarachnoid hemorrhage are the major life threatening and functional components of the follow up of a ruptured aneurysm. Knowing how to identify these is a key challenge. They vary in type throughout the postoperative follow up period. The aim of this article is firstly to list the main complications of the acute phase (rebleeding, acute hydrocephalus, acute ischemic injury and non-neurological complications), the subacute phase (vasospasm) and the chronic phase of subarachnoid hemorrhages: (chronic hydrocephalus and cognitive disorders) and to describe their major clinical and radiological features. Secondly, we describe the long-term follow up strategy for patients who have suffered a subarachnoid hemorrhage and have been treated endovascularly or by surgery. This follow up involves a combination of clinical consultations, cerebral MRI and at least one review angiogram.

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Section: Subacute Complications (D3-d30): Vasospasmmentioning

confidence: 99%

Complications and follow up of subarachnoid hemorrhages

Danière

Gascou²,

Champfleur³

et al. 2015

Diagnostic and Interventional Imaging

View full text Add to dashboard Cite

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“…Le risque de vasospasme survient plus tardivement que le risque de resaignement, classiquement entre j4 et j15. Des cas de vasospasme plus tardifs ont également été rapportés [22]. Le risque de vasospasme est corrélé à l'importance du saignement initial et à la classification de Fisher [23].…”

Section: Complication Subaiguë (J3-j30) : Vasospasmeunclassified

Complications et suivi des hémorragies méningées

Danière

Gascou

Champfleur

et al. 2015

Journal de Radiologie Diagnostique et Interventionnelle

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Non-compliant and compliant balloons for endovascular rescue therapy of cerebral vasospasm after spontaneous subarachnoid haemorrhage: experiences of a single-centre institution with radiological follow-up of the treated vessel segments

Neumann

Küchler²,

Ditz³

et al. 2020

Stroke Vasc Neurol

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BackgroundFor endovascular rescue therapy (ERT) of cerebral vasospasm (CVS) due to spontaneous subarachnoid haemorrhage (sSAH), non-compliant (NCB) and compliant (CB) balloons are used with both balloon types bearing the risk of vessel injury due to specific mechanical properties. Although severe delayed arterial narrowing after transluminal balloon angioplasty (TBA) for CVS has sporadically been described, valid data concerning incidence and relevance are missing. Our aim was to analyse the radiological follow-up (RFU) of differently TBA-treated arteries (CB or NCB).MethodsTwelve patients with utilisation of either NCB or CB for CVS were retrospectively analysed for clinical characteristics, ERT, functional outcome after 3 months and RFU. Compared with the initial angiogram, we classified delayed arterial narrowing as mild, moderate and severe (<30%, 30%–60%, respectively >60% calibre reduction).ResultsTwenty-three arteries were treated with CB, seven with NCB. The median first RFU was 11 months after TBA with CB and 10 after NCB. RFU was performed with catheter angiography in 18 arteries (78%) treated with CB and in five (71%) after NCB; magnetic resonance angiography was acquired in five vessels (22%) treated with CB and in two (29%) after NCB. Mild arterial narrowing was detected in three arteries (13%) after CB and in one (14%) after NCB. Moderate or severe findings were neither detected after use of CB nor NCB.ConclusionWe found no relevant delayed arterial narrowing after TBA for CVS after sSAH. Despite previous assumptions that CB provides for more dilatation in segments adjacent to CVS, we observed no disadvantages concerning long-term adverse effects. Our data support TBA as a low-risk treatment option.

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Delayed progressive bilateral supraclinoid internal carotid artery stenosis in a patient with a ruptured basilar artery aneurysm

Cited by 3 publications

References 29 publications

Complications and follow up of subarachnoid hemorrhages

Complications and follow up of subarachnoid hemorrhages

Complications et suivi des hémorragies méningées

Non-compliant and compliant balloons for endovascular rescue therapy of cerebral vasospasm after spontaneous subarachnoid haemorrhage: experiences of a single-centre institution with radiological follow-up of the treated vessel segments

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