TABLE 1:
Summary of patients in this study
Patient | Age (y) | Sex | H&H | Aneurysm | Treatment | Vasospasm | HHH | Post-treatment Examination(*) |
---|---|---|---|---|---|---|---|---|
1 | 58 | F | III | Left PCOM | Clipped | Mild | No | Better |
2 | 56 | F | III | Right SCA, vermian AVM | NBCA glued | Moderate | Yes | Unchanged |
3 | 60 | F | I | ACOM | Clipped | Mild | Yes | Better |
4†‡ | 63 | F | III | Right MCA | Clipped | Mild | No | Unchanged |
4†‡ | 63 | F | III | Right MCA | Clipped | Mild | Yes | Better |
5 | 48 | F | IV | Basilar | Coiled | Moderate | No | Better |
6 | 51 | F | V | ACOM | Clipped | Severe | Yes | Worse |
7 | 39 | F | I | Right PCOM | Clipped | Moderate | Yes | Unchanged |
8 | 65 | F | III | Right ACOM | Clipped | Mild | No | Unchanged |
9‡ | 39 | F | I | Basilar | Failed clipping and coiling | Severe | No | Worse |
10 | 53 | M | III | Right vertebral dissection | Coiled | Severe | Yes | Unchanged |
11 | 45 | F | V | ACOM | Clipped | Severe | Yes | Unchanged |
11† | 45 | F | V | ACOM | Clipped | Severe | Yes | Unchanged |
12‡ | 41 | F | V | ACOM | Coiled | Severe | No | Unchanged |
12†‡ | 41 | F | V | ACOM | Coiled | Severe | No | Better |
13‡ | 60 | M | I | Left MCA | Clipped | Severe | Yes | Better |
14 | 65 | F | III | ACOM | Clipped | Mild | Yes | Better |
15‡ | 17 | F | III | Left ACOM | Clipped | Moderate | No | Unchanged |
16‡ | 60 | F | III | Basilar | Clipped | Severe | No | Unchanged |
17‡ | 43 | M | III | Basilar | Clipped | Moderate | Yes | Unknown |
18 | 42 | F | V | Left MCA | Clipped | Severe | Yes | Unchanged |
19‡ | 48 | F | V | Left PICA | Coiled | Severe | Yes | Unchanged |
20 | 78 | F | III | Left PICA | Coiled | Mild | Yes | Unknown |
21 | 69 | F | IV | ACOM | Clipped | Moderate | Yes | Unchanged |
22 | 56 | F | IV | Left MCA | Clipped | Mild | Yes | Unchanged |
22† | 56 | F | IV | Left MCA | Clipped | Mild | Yes | Unchanged |
23 | 47 | F | I | Basilar,bilateral MCA | Clipped | Severe | No | Worse |
23† | 47 | F | I | Basilar,bilateral MCA | Clipped | Severe | Yes | Better |
24 | 69 | M | III | Right MCA | Clipped | Moderate | No | Unchanged |
25 | 39 | M | III | Right MCA | Clipped | Mild | Yes | Unchanged |
26 | 69 | F | III | Left choroidal, bilateral MCA | L choroidal clipped, L MCA wrapped | Moderate | Yes | Unchanged |
27‡ | 65 | M | IV | ACOM | Clipped | Mild | Yes | Better |
28 | 63 | M | V | ACOM | Clipped | Severe | No | Unknown |
29 | 58 | M | IV | Left SCA | Clipped | Moderate | Yes | Better |
Note.—H&H indicates Hunt and Hess grade; HHH, hypertension, hypervolemia, and hemodilution treatment; F, female, M, male; PCOM, posterior communicating artery; SCA, subclavian artery; AVM, arteriovenous malformation; ACOM, anterior communicating artery; MCA, middle cerebral artery; PICA, posterior inferior cerebellar artery; NBCA, 𝓃-butyl-cyanoacrylate.
Post-treatment neurologic examinations were reviewed by an independent stroke neurologist.
Patients who underwent repeat treatment with verapamil.
Patients who underwent repeat control angiography 10 to 15 minutes after verapamil infusion.