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Oral verapamil in the prevention of recurrent cerebral ischaemia due to post‐stent vasospasm
Author(s) -
Rastogi V.,
Asaithambi G.,
Patel A.,
Park K.,
Bidari S.,
Hedna V. S.
Publication year - 2016
Publication title -
journal of clinical pharmacy and therapeutics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.622
H-Index - 73
eISSN - 1365-2710
pISSN - 0269-4727
DOI - 10.1111/jcpt.12387
Subject(s) - medicine , vasospasm , verapamil , cerebral vasospasm , stent , basilar artery , embolization , complication , anesthesia , ischemia , cardiology , subarachnoid hemorrhage , surgery , calcium
Summary What is known and objective Endovascular embolization of basilar tip aneurysms (BTA) is performed to prevent rupture, but little is known regarding post‐procedural vasospasm and its consequences. We relate management of post‐procedural vasospasm found in cardiovascular literature on this rare post‐procedural intracranial complication. Case description A 52‐year‐old man develops ischaemic strokes after undergoing posterior cerebral artery (PCA) stent‐assisted coil embolization of BTA. Work‐up suggested that vasospasm was the cause of his strokes. What is new and conclusion Vasospasm after intracranial stenting may share similar pathophysiological features to coronary stenting, resulting in ischaemia. Verapamil should be considered an empiric therapy in prevention of stent‐related vasospasm.

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