Vasospasm During Endovascular Treatment of Ischemic Stroke: Associated Factors, Impact on Outcomes, and the Effect of Intraarterial Nimodipine
Vasospasm during endovascular treatment is associated with worse outcomes and increased mortality, and should be regarded as a serious procedural complication. Younger patients who are active smokers, presenting with distal occlusions, and require multiple recanalization attempts are at higher risk. Intraarterial nimodipine appears to be a sensible treatment as it may mitigate neurological deterioration without signals of potential harm.
Authors
- Maria Berndt (ORCID: https://orcid.org/0000-0001-9124-231X)
- Sven Poli (ORCID: https://orcid.org/0000-0002-0286-8781)
- Eberhard Siebert (ORCID: https://orcid.org/0000-0001-7395-6546)
- Joachim Röther (ORCID: https://orcid.org/0000-0002-8088-9991)
- Götz Thomalla (ORCID: https://orcid.org/0000-0002-4785-1449)
- Maximilian Schell
- Gabor C. Petzold (ORCID: https://orcid.org/0000-0002-0145-8641)
- Christian H. Nolte (ORCID: https://orcid.org/0000-0001-5577-1775)
- Arno Reich (ORCID: https://orcid.org/0000-0002-9439-7963)
- Steffen Tiedt (ORCID: https://orcid.org/0000-0002-8817-8457)
- Klaus Gröschel (ORCID: https://orcid.org/0000-0002-0244-6116)
- Fabian Flottmann (ORCID: https://orcid.org/0000-0001-8358-8089)
- Anna Alegiani (ORCID: https://orcid.org/0000-0001-8216-6220)
- Fee Christiane Keil (ORCID: https://orcid.org/0000-0002-9158-1538)
- Sven Thonke
- Timo Uphaus (ORCID: https://orcid.org/0000-0001-5526-0510)
- Johannes Wischmann (ORCID: https://orcid.org/0000-0003-0653-943X)
- Mario Abruscato
- Christoph Riegler (ORCID: https://orcid.org/0000-0002-2478-3500)
- Silke Wunderlich (ORCID: https://orcid.org/0000-0003-1208-3686)
- Ulrike Ernemann (ORCID: https://orcid.org/0000-0003-1330-1235)
- Omid Nikoubashman (ORCID: https://orcid.org/0000-0002-2055-4217)
- Jörg Berrouschot
- Franziska Dorn (ORCID: https://orcid.org/0000-0002-9287-9512)
- Silke Wunderlich
- Jens Fiehler
- Albrecht Bormann
- Jan Hendrik Schäfer
- Bernd Eckert
- Alexander Rattenberger
Institutions
- University of Colorado Hospital (US)
- TUM Klinikum (DE)
- LMU Klinikum (DE)
- German Centre for Cardiovascular Research (DE)
- Berlin Institute of Health at Charité - Universitätsmedizin Berlin (DE)
- Charité - Universitätsmedizin Berlin (DE)
- Ludwig-Maximilians-Universität München (DE)
- University of Colorado Denver (US)
Publication Details
- Journal
- Stroke
- Published
- 2025-12-03
- DOI
- https://doi.org/10.1161/strokeaha.125.053600
- Citations
- 1
- Primary Topic
- Acute Ischemic Stroke Management
- Type
- article
- Field-Weighted Citation Impact
- 1.35