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017 Preventing strokes from vasospasm and heparin induced thrombocytopenia type II: nicardipine, milrinone, angioplasty and Argtroban
  1. J Rabinov1,
  2. J Pryor2,
  3. R Nogueira1,
  4. A Yoo1,
  5. J Hirsch1
  1. 1Neuroradiology, Massachusetts General Hospital, Boston, Massachusetts, USA
  2. 2Neurosurgery, Massachusetts General Hospital, Boston, Massachusetts, USA

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Purpose: To investigate the use of Argtroban in patients at risk for heparin induced thrombocytopenia type II (HIT) during intra-arterial (IA) therapy for subarachnoid hemorrhage (SAH) related vasospasm.

Methods and Materials: In 2007, 33 patients underwent angiographic procedures for cerebral vasospasm following presentation to our institution with aneurysmal subarachnoid hemorrhage. 32 patients underwent pharmacologic IA therapy for SAH related vasospasm. The other patient underwent cerebral angiography and was treated with the Neuroflo aortic balloon catheter. The Neuroflo catheter was used in two patients, one as adjunctive therapy and one as the sole mode of therapy. 10 men and 23 women …

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