Abstract
We describe two patients with subarachnoid haemorrhage due to a ruptured intracranial aneurysm and severe symptomatic vasospasm. The aneurysm was occluded with detachable coils followed by intra-arterial infusion of papaverine to treat vasospasm as an one-stage procedure. There was significant resolution of the vasospasm. The long-term clinical outcome in one patient was excellent, the other still has minor deficits. Combined endovascular aneurysm therapy followed by intra-arterial spasmolysis with papaverine is a technically feasable therapeutic alternative in patients with symptomatic vasospasm.
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Received: 5 November 1999/Accepted: 12 July 2000
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Wanke, I., Dörfler, A., Dietrich, U. et al. Combined endovascular therapy of ruptured aneurysms and cerebral vasospasm. Neuroradiology 42, 926–929 (2000). https://doi.org/10.1007/s002340000479
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DOI: https://doi.org/10.1007/s002340000479