Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
2
pubmed:dateCreated
2000-5-11
pubmed:abstractText
Complications associated with intraarterial papaverine infusion occurred in two patients treated for vasospasm due to subarachnoid hemorrhage (SAH). A 42-year-old male with an anterior communicating artery aneurysm underwent craniotomy and aneurysm clipping. Five days after the SAH occurred, angiography demonstrated moderate vasospasm in spite of hypervolemic-hypertensive therapy. During papaverine infusion into the carotid artery, he suffered loss of consciousness due to a seizure for a few minutes. A 61-year-old female with a right internal carotid-posterior communicating artery aneurysm underwent clipping. Six days after the SAH occurred, angiography demonstrated severe vasospasm in spite of hypervolemic-hypertensive therapy. Angiography performed immediately after papaverine infusion into the carotid artery revealed exacerbation of the vasospasm. Finally she suffered cerebral infarction and died. Complications of intraarterial papaverine infusion are potentially dangerous. We recommend trial administration of papaverine with angiography and neurological examination before full dose infusion to avoid complications.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Feb
pubmed:issn
0470-8105
pubmed:author
pubmed:issnType
Print
pubmed:volume
40
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
112-5
pubmed:dateRevised
2004-11-17
pubmed:meshHeading
pubmed-meshheading:10786100-Adult, pubmed-meshheading:10786100-Carotid Arteries, pubmed-meshheading:10786100-Cerebral Angiography, pubmed-meshheading:10786100-Craniotomy, pubmed-meshheading:10786100-Dose-Response Relationship, Drug, pubmed-meshheading:10786100-Fatal Outcome, pubmed-meshheading:10786100-Female, pubmed-meshheading:10786100-Humans, pubmed-meshheading:10786100-Infusions, Intra-Arterial, pubmed-meshheading:10786100-Intraoperative Complications, pubmed-meshheading:10786100-Ligation, pubmed-meshheading:10786100-Male, pubmed-meshheading:10786100-Middle Aged, pubmed-meshheading:10786100-Papaverine, pubmed-meshheading:10786100-Subarachnoid Hemorrhage, pubmed-meshheading:10786100-Treatment Outcome, pubmed-meshheading:10786100-Vasodilator Agents, pubmed-meshheading:10786100-Vasospasm, Intracranial
pubmed:year
2000
pubmed:articleTitle
Complications associated with intraarterial administration of papaverine for vasospasm following subarachnoid hemorrhage--two case reports.
pubmed:affiliation
Department of Neurosurgery, Ibaraki Seinam Medical Center Hospital, Japan.
pubmed:publicationType
Journal Article, Case Reports