Endovascular Methods of Prevention and Treatment of Vascular Spasm Due to Rupture of Cerebral Aneurysms: Pros and Cons

Abstract

This review highlights current approaches to endovascular therapy of cerebral angiospasm in non-traumatic subarachnoid hemorrhage due to a ruptured cerebral aneurysm (CA). The main clinical guidelines for the management of patients with CA rupture are highlighted, clinical studies on the use of balloon angioplasty, intra-arterial administration of various vasodilators are presented, the advantages and complications of using various techniques are described.

Keywords

• cerebral aneurysm
• nontraumatic subarachnoid hemorrhage
• cerebral angiospasm
• endovascular treatment
• balloon angioplasty
• chemoangioplasty