Human pial vascular reactions to intravenous Nimodipine-infusion during EC-IC bypass surgery.
Author(s) -
L. M. Auer,
Rainer Oberbauer,
H. van der Schalk
Publication year - 1983
Publication title -
stroke
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.397
H-Index - 319
eISSN - 1524-4628
pISSN - 0039-2499
DOI - 10.1161/01.str.14.2.210
Subject(s) - nimodipine , medicine , vasospasm , vasoconstriction , anesthesia , ischemia , subarachnoid hemorrhage , cerebral vasospasm , cardiology , calcium
In previous experimental work, the Ca-antagonist Nimodipine had shown a predominantly cerebroarterial dilatory effect. In the present double-blind study of 16 patients, pial arterial and venous reaction was investigated during EC-IC bypass surgery, infusing 1 microgram kg-1min-1 of Nimodipine intravenously. In pial arteries with resting diameters between 25 and 70 micrometers, a significant 18% dilatation was observed. Results are considered promising for future trials in the treatment and prevention of cerebral ischemia caused by vasoconstriction or vasospasm, especially vasospasm following subarachnoid hemorrhage.
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