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Evolving frontiers: endovascular strategies for the treatment of delayed cerebral ischemia

David-Dimitris Chlorogiannis1,2, Athina-Maria Aloizou3, Theodoros Mavridis4,5

  • 1Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USA.

Reviews in the Neurosciences
|January 26, 2024
PubMed

Cerebral vasospasm and delayed cerebral ischemia represent a very challenging aspect of cerebrovascular pathophysiology, most commonly subarachnoid hemorrhage, with significantly high mortality if left untreated. Considerable advances have been made in medical treatment and prompt diagnosis, while newer endovascular modalities have recently been proposed for cases of resistant cerebral vasospasm. However, there is still paucity of data regarding which and whether a single endovascular technique is non inferior to the pharmacological standard of care. In this review, we aim to summarize the current funds of knowledge concerning cerebral vasospasm and the emerging role of the endovascular techniques for its treatment.

Keywords:
balloon angioplastycerebral vasospasmdelayed cerebral ischemiaintra-arterial vasodilaitonsubarachnoid hemorrhage

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