RESUMEN
To our knowledge, the use of transdermal nitroglycerin ointment (Nitropaste) in the setting of intracranial vasospasm has not been described in the peer-reviewed literature. Five patients with intracranial vasospasm induced by subarachnoid hemorrhage were evaluated angiographically both before and after application of Nitropaste. All cases exhibited mild to moderate improvement in the degree of vasospasm. We conclude that Nitropaste is a simple noninvasive technique to reduce intracranial vasospasm.
Asunto(s)
Aneurisma Roto/cirugía , Embolización Terapéutica , Aneurisma Intracraneal/cirugía , Nitroglicerina/administración & dosificación , Complicaciones Posoperatorias/tratamiento farmacológico , Instrumentos Quirúrgicos , Vasoespasmo Intracraneal/tratamiento farmacológico , Administración Cutánea , Adolescente , Adulto , Aneurisma Roto/diagnóstico por imagen , Angioplastia de Balón , Niño , Preescolar , Femenino , Humanos , Lactante , Aneurisma Intracraneal/diagnóstico por imagen , Masculino , Persona de Mediana Edad , Complicaciones Posoperatorias/diagnóstico por imagen , Radiografía , Resultado del Tratamiento , Vasoespasmo Intracraneal/diagnóstico por imagenRESUMEN
We report the successful treatment of bilateral postendarterectomy restenosis using simultaneously placed, bilateral carotid SMART stents and balloon angioplasty. Technical aspects and the results of 29-month follow-up are presented. The benefits derived from single-setting bilateral carotid stenting versus staged bilateral stenting are discussed.