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Role of Transcranial Doppler in Neuroradiological Treatment of Intracranial Vasospasm
Stroke 24:299-303, Hurst,R.W.,et al, 1993
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Article Abstract
Intracranial angioplasty for clinically evident vasospasm after subarachnoid hemorrhage was performed in four patients.In two patients, transcranial Doppler flow velocities remained elevated despite initial anatomic correction of the vasospasm.Reangiography revealed new areas of involvement by vasospasm.Reangioplasty or papaverine infusion treatment of the new lesions resulted in decreased flow velocities and clinical improvement in all patients.Transcranial Doppler has a more significant role than has been previously emphasized in the management of patients undergoing interventional neuroradiological treatment for intracranial vasospasm.Specifically,the persistence of elevated transcranial Doppler flow velocities after intracranial angioplasty suggests the need for repeat angiographic evaluation and possibly further therapy.
 
Related Tags
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aneurysm,intracranial,delayed cerebral ischemia with
doppler,transcranial
endovascular therapy
neuroradiology
neuroradiology,interventional
subarachnoid hemorrhage
subarachnoid hemorrhage,treatment of
transluminal angioplasty,intracranial
treatment of neurologic disorder
vasospasm,cerebral

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