Treatment of Therapy-Refractory, Symptomatic Vasospasm in a Radial Artery Bypass Graft With Balloon Angioplasty in a Patient With Severe Subarachnoid Hemorrhage: A Case Study
Endovascular balloon PTA should be considered a rescue measure for vasospasm in extracranial-intracranial bypasses, particularly with RA grafts post-SAH. Owing to its muscular structure, the RA graft is especially prone to spasm, potentially compromising graft patency. When pharmacological treatments fail, balloon PTA offers a targeted intervention to restore vessel caliber, stabilizing blood flow and preventing ischemic complications, thus supporting the bypass's long-term success.
Authors
- Patrick Dömer (ORCID: https://orcid.org/0000-0003-1705-6556)
- Franziska Meinert (ORCID: https://orcid.org/0009-0004-6036-4890)
- Levent Tanrikulu (ORCID: https://orcid.org/0000-0003-2061-3560)
- Simeon O. A. Helgers
- Johannes Woitzik (ORCID: https://orcid.org/0000-0002-1865-4606)
- Christian Mathys (ORCID: https://orcid.org/0000-0002-5245-4958)
- Claudia Klüner
Institutions
- Carl von Ossietzky Universität Oldenburg (DE)
- Evangelisches Krankenhaus Oldenburg (DE)
- Heinrich Heine University Düsseldorf (DE)
Publication Details
- Journal
- Neurosurgery Open
- Published
- 2025-08-25
- DOI
- https://doi.org/10.1227/neuprac.0000000000000158
- Citations
- 1
- Primary Topic
- Intracranial Aneurysms: Treatment and Complications
- Type
- article
- Field-Weighted Citation Impact
- 1.39