Brain blood flow SPECT in temporary balloon occlusion of carotid and intracerebral arteries

D. Mathews, B. S. Walker, P. D. Purdy, H. Batjer, B. C. Allen, D. A. Eckard, M. D. Devous, F. J. Bonte

Research output: Contribution to journalArticle

30 Citations (Scopus)

Abstract

It is important to determine preoperatively which patients can tolerate permanent occlusion of a cervical internal carotid or cerebral artery when such a procedure may be necessary to treat cerebrovascular or neoplastic lesions. Here we report our experience in combining temporary intra-arterial balloon occlusion with concomitant cerebral blood flow imaging in preoperative evaluation of such patients. Forty-two patients with a variety of cerebrovascular and neoplastic lesions underwent trial balloon occlusion of an internal carotid or intracerebral artery. Eight patients developed both neurologic symptoms as well as brain perfusion defects during trial occlusion. Nine others developed only perfusion defects. The remainder were asymptomatic and had negative scans. Brain blood flow imaging during intra- arterial balloon occlusion identified 17 patients potentially at risk for developing postsurgical ischemic deficits. Treatment alternatives to acute arterial sacrifice were developed for these patients.

Original languageEnglish (US)
Pages (from-to)1239-1243
Number of pages5
JournalJournal of Nuclear Medicine
Volume34
Issue number8
StatePublished - 1993

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Balloon Occlusion
Single-Photon Emission-Computed Tomography
Carotid Arteries
Brain
Cerebrovascular Circulation
Perfusion
Cerebral Arteries
Internal Carotid Artery
Neurologic Manifestations
Arteries

ASJC Scopus subject areas

  • Radiological and Ultrasound Technology

Cite this

Mathews, D., Walker, B. S., Purdy, P. D., Batjer, H., Allen, B. C., Eckard, D. A., ... Bonte, F. J. (1993). Brain blood flow SPECT in temporary balloon occlusion of carotid and intracerebral arteries. Journal of Nuclear Medicine, 34(8), 1239-1243.

Brain blood flow SPECT in temporary balloon occlusion of carotid and intracerebral arteries. / Mathews, D.; Walker, B. S.; Purdy, P. D.; Batjer, H.; Allen, B. C.; Eckard, D. A.; Devous, M. D.; Bonte, F. J.

In: Journal of Nuclear Medicine, Vol. 34, No. 8, 1993, p. 1239-1243.

Research output: Contribution to journalArticle

Mathews, D, Walker, BS, Purdy, PD, Batjer, H, Allen, BC, Eckard, DA, Devous, MD & Bonte, FJ 1993, 'Brain blood flow SPECT in temporary balloon occlusion of carotid and intracerebral arteries', Journal of Nuclear Medicine, vol. 34, no. 8, pp. 1239-1243.
Mathews, D. ; Walker, B. S. ; Purdy, P. D. ; Batjer, H. ; Allen, B. C. ; Eckard, D. A. ; Devous, M. D. ; Bonte, F. J. / Brain blood flow SPECT in temporary balloon occlusion of carotid and intracerebral arteries. In: Journal of Nuclear Medicine. 1993 ; Vol. 34, No. 8. pp. 1239-1243.
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