Angioplasty with the scepter C dual lumen balloon catheter and postprocedural result evaluation in patients with subarachnoid hemorrhage related vasospasms

Background Delayed cerebral ischemia is one of the leading causes of death and disability in patients with subarachnoid hemorrhage (SAH). Transluminal balloon angioplasty (TBA) is a therapeutic option for vasospasms affecting proximal intracranial arteries. Methods Aim of this study was to report ou...

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Hauptverfasser: Tsogkas, Ioannis (VerfasserIn) , Malinova, Vesna (VerfasserIn) , Schregel, Katharina (VerfasserIn) , Mielke, Dorothee (VerfasserIn) , Behme, Daniel (VerfasserIn) , Rohde, Veit (VerfasserIn) , Knauth, Michael (VerfasserIn) , Psychogios, Marios-Nikos (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: 29 June 2020
In: BMC neurology
Year: 2020, Jahrgang: 20
ISSN:1471-2377
DOI:10.1186/s12883-020-01792-3
Online-Zugang:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1186/s12883-020-01792-3
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Verfasserangaben:Ioannis Tsogkas, Vesna Malinova, Katharina Schregel, Dorothee Mielke, Daniel Behme, Veit Rohde, Michael Knauth and Marios-Nikos Psychogios

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245 1 0 |a Angioplasty with the scepter C dual lumen balloon catheter and postprocedural result evaluation in patients with subarachnoid hemorrhage related vasospasms  |c Ioannis Tsogkas, Vesna Malinova, Katharina Schregel, Dorothee Mielke, Daniel Behme, Veit Rohde, Michael Knauth and Marios-Nikos Psychogios 
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520 |a Background Delayed cerebral ischemia is one of the leading causes of death and disability in patients with subarachnoid hemorrhage (SAH). Transluminal balloon angioplasty (TBA) is a therapeutic option for vasospasms affecting proximal intracranial arteries. Methods Aim of this study was to report our experience using the Scepter C balloon catheter in the treatment of cerebral vasospasms due to SAH and evaluate the postprocedural result with the iFlow tool. We reviewed cases of patients treated at our hospital from 2014 to 2018. Patients were screened with transcranial doppler sonography (TCD) and multimodal computed tomography. In case of significant vasospasms, patients were transferred to the angiography suite and treated. We used the iFlow tool to quantify and evaluate the angiographic results by measuring and comparing peak density values on angiograms before and after the mechanical dilation. Results The use of the Scepter C balloon catheter was feasible in all cases. Vasospasms of the anterior cerebral artery were treated in ten cases. We didn't observe complications or vasospasm recurrences of the treated arteries. The temporal difference between distal vessels and the proximal reference vessel was significantly reduced from a mean of 53%, prior to dilatation, to 26% after the treatment. The difference between pre-dilatation and post-dilatation values was statistically significant for the anterior circulation at the proximal as well as at the distal vessels. Conclusions We successfully treated endovascularly patients suffering from cerebral vasospasms refractory to medical treatment using the Scepter C balloon catheter. We didn't observe any complications. The therapeutic effect could be easily and reliably assessed with the iFlow tool. 
650 4 |a aneurysm patients 
650 4 |a Angioplasty 
650 4 |a Balloon-catheter 
650 4 |a cerebral vasospasm 
650 4 |a efficacy 
650 4 |a endovascular treatment 
650 4 |a iFlow tool 
650 4 |a infarction 
650 4 |a management 
650 4 |a nimodipine 
650 4 |a risk 
650 4 |a Scepter C balloon catheter 
650 4 |a Subarachnoid hemorrhage 
650 4 |a surgery 
650 4 |a symptomatic vasospasm 
650 4 |a Vasospasms 
700 1 |a Malinova, Vesna  |e VerfasserIn  |4 aut 
700 1 |a Schregel, Katharina  |e VerfasserIn  |0 (DE-588)1215056605  |0 (DE-627)1726087360  |4 aut 
700 1 |a Mielke, Dorothee  |e VerfasserIn  |4 aut 
700 1 |a Behme, Daniel  |e VerfasserIn  |4 aut 
700 1 |a Rohde, Veit  |e VerfasserIn  |4 aut 
700 1 |a Knauth, Michael  |e VerfasserIn  |4 aut 
700 1 |a Psychogios, Marios-Nikos  |e VerfasserIn  |4 aut 
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