Balloon angioplasty for cerebral vasospasm in preschool children.

IF 1.7 4区医学 Q3 Medicine Interventional Neuroradiology Pub Date : 2024-11-15 DOI:10.1177/15910199241293173

Zeferino Demartini, Flavio Requejo, Renato Fedato Beraldo, Adriano Keijiro Maeda, Alexandre Mello Savoldi, Adriane Cardoso-Demartini

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Abstract

Background: Subarachnoid hemorrhage evolving with cerebral vasospasm and delayed cerebral ischemia may increase morbidity and mortality. Treating vasospasm with balloon percutaneous angioplasty (PTA) in adults is well known, but data in preschool children are scarce. In addition, the smaller diameters and fragility of the vessels in childhood might lead to serious complications. This study presents two cases of cerebral vasospasm in preschool children treated with balloon PTA. Therefore, it may contribute to a better understanding of the role of that technique as an effective treatment modality in this population.

Methods: Balloon PTA was performed in two children (3 and 4 year-old) with aneurysmal subarachnoid hemorrhage and delayed cerebral ischemia.

Results: The procedures were uneventful, and both patients survived without complications or new infarction.

Conclusions: Balloon PTA for proximal vasospasm may improve clinical outcomes in selected pediatric patients. Further studies are needed to clarify the best candidates, materials, and techniques.

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球囊血管成形术治疗学龄前儿童脑血管痉挛。

背景：蛛网膜下腔出血并发脑血管痉挛和延迟性脑缺血可能会增加发病率和死亡率。用球囊经皮血管成形术（PTA）治疗成人血管痉挛已广为人知，但学龄前儿童的数据却很少。此外，儿童血管直径较小且脆弱，可能会导致严重的并发症。本研究介绍了两例使用球囊 PTA 治疗学龄前儿童脑血管痉挛的病例。因此，该研究有助于更好地了解该技术作为一种有效的治疗方式在这一人群中的作用：方法：对两名患有动脉瘤性蛛网膜下腔出血和迟发性脑缺血的儿童（3 岁和 4 岁）进行了球囊 PTA 治疗：结果：手术过程顺利，两名患者均无并发症或新的脑梗死：结论：球囊 PTA 治疗近端血管痉挛可改善特定儿童患者的临床预后。需要进一步研究以明确最佳候选者、材料和技术。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Interventional Neuroradiology 医学-核医学

CiteScore

2.80

自引率

11.80%

发文量

192

审稿时长

6-12 weeks

期刊介绍： Interventional Neuroradiology (INR) is a peer-reviewed clinical practice journal documenting the current state of interventional neuroradiology worldwide. INR publishes original clinical observations, descriptions of new techniques or procedures, case reports, and articles on the ethical and social aspects of related health care. Original research published in INR is related to the practice of interventional neuroradiology...