대표어
한국학술지인용색인(NRF)
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| 기사명 | 저자명 | 페이지 | 원문 | 기사목차 |
|---|
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동의어 포함
초록보기
Objective : Cerebral vasospasm leading to cerebral ischemic infarction is a major cause of morbidity and mortality in the patients who suffer
with aneurysmal subarachnoid hemorrhage. Despite adequate treatment, some patients deteriorate and they develop symptomatic vasospasm.
The objective of the present study was to investigate the efficacy and clinical outcome of intraarterial nimodipine infusion on symptomatic
vasospasm that is refractory to hemodynamic therapy.
Methods : We retrospectively reviewed the procedure reports, the clinical charts and the transcranial doppler, computed tomography and digital
subtraction angiography results for the patients who underwent endovascular treatment for symptomatic cerebral vasospasm due to aneurysmal
SAH. During the 36 months between Jan. 2005 and Dec. 2007, 19 patients were identified who had undergone a total of 53 procedures. We
assessed the difference in the arterial vessel diameter, the blood flow velocity and the clinical outcome before and after these procedures.
Results : Vascular dilatation was observed in 42 of 53 procedures. The velocities of the affected vessels before and after procedures were
available in 33 of 53 procedures. Twenty-nine procedures exhibited a mean decrease of 84.1 cm/s. We observed clinical improvement and an
improved level of consciousness with an improved GCS score after 23 procedures.
Conclusion : Based on our results, the use of intraarterial nimodipine is effective and safe in selected cases of vasospasm following aneurysmal
SAH. Prospective, randomized studies are needed to confirm these results.권호기사
참고문헌 (24건) : 자료제공( 네이버학술정보 )
| 번호 | 참고문헌 | 국회도서관 소장유무 |
|---|---|---|
| 1 | Early vasospasm on admission angiography in patients with aneurysmal subarachnoid hemorrhage is a predictor for in-hospital complications and poor outcome.  |
미소장 |
| 2 | Intra-Arterial Nimodipine for the Treatment of Symptomatic Cerebral Vasospasm after Aneurysmal Subarachnoid Hemorrhage: Preliminary Results |
미소장 |
| 3 | Immediate postangiographic intraarterial treatment of cerebral vasospasm after subarachnoid hemorrhage with nimodipine. Report on 3 cases. |
미소장 |
| 4 | Endothelin Receptor Antagonists and Cerebral Vasospasm: An Update |
미소장 |
| 5 | Current concepts of pathophysiology and management of cerebral vasospasm following aneurysmal subarachnoid hemorrhage. |
미소장 |
| 6 | Selective Intraarterial Nimodipine Treatment in an Experimental Subarachnoid Hemorrhage Model |
미소장 |
| 7 | Fujii Y, Takahashi A, Ezura M, Mizoi K : Balloon angioplasty immediately after surgical clipping for symptomatic vasospasm on admission. Report of four cases. Neurosurg Rev 18 : 79-84, 1995 | 미소장 |
| 8 | Intracarotid slow bolus injection of nimodipine during angiography for treatment of cerebral vasospasm after SAH. A preliminary report. |
미소장 |
| 9 | Prediction of Cerebral Vasospasm in Patients Presenting with Aneurysmal Subarachnoid Hemorrhage: A Review |
미소장 |
| 10 | Efficacy of intra-arterial nimodipine in the treatment of cerebral vasospasm complicating subarachnoid haemorrhage |
미소장 |
| 11 | Superselective intra-arterial infusion of papaverine for the treatment of cerebral vasospasm after subarachnoid hemorrhage. |
미소장 |
| 12 | The International Cooperative Studyon the Timing of Aneurysm Surgery |
미소장 |
| 13 | Incidence of Subarachnoid Hemorrhage |
미소장 |
| 14 | Macdonald LR, Weir B : Epidemiology in cerebral vasospasm. San Diego (CA) : Academic Press, 2001, pp17-43 | 미소장 |
| 15 | Calcium Antagonists and Vasospasm |
미소장 |
| 16 | Increase in diameters of vasospastic intracranial arteries by intraarterial papaverine administration. |
미소장 |
| 17 | Endovascular treatment strategies for cerebral vasospasm. |
미소장 |
| 18 | The prophylactic use of transluminal balloon angioplasty in patients with Fisher Grade 3 subarachnoid hemorrhage: a pilot study. |
미소장 |
| 19 | Repeat intra-arterial papaverine for recurrent cerebral vasospasm after subarachnoid haemorrhage. |
미소장 |
| 20 | Intra-arterially Administered Papaverine for the Treatment of Symptomatic Cerebral Vasospasm |
미소장 |
| 21 | Calcium antagonists for aneurysmal subarachnoid haemorrhage. |
미소장 |
| 22 | Endovascular treatment of cerebral vasospasm: assessment of treatment effect by cerebral angiography and transcranial colour Doppler sonography. |
미소장 |
| 23 | Treggiari-Venzi MM, Suter PM, Romand JA : Review of medical prevention of vasospasm after aneurysmal subarachnoid haemorrhage : a problem of neurointensive care. Neurosurgery 48 : 249-261;discussion 261-262, 2001 | 미소장 |
| 24 | Nimodipine in the treatment of subarachnoid hemorrhage. |
미소장 |
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