Case Reports in Critical Care / 2015 / Article / Fig 4

Case Report

Early Angiographic Resolution of Cerebral Vasospasm with High Dose Intravenous Milrinone Therapy

Figure 4

DSA performed 1.5 hours after milrinone administration. DSA = digital subtraction angiogram. (A) AP projection of a left vertebral artery injection displaying good opacification of the basilar artery trunk (black arrow). (B) Lateral projection of left vertebral artery injection displaying good opacification of the basilar artery trunk. (C) AP projection of a left internal carotid artery injection displaying resolution of all left sided vasospasm and normal appearing proximal anterior and middle cerebral arteries (black arrows). (D) Lateral projection of left internal carotid artery injection displaying no distal MCA vasospasm. (E) AP projection of right internal carotid artery injection displaying improvement in proximal middle cerebral artery spasm, with mild residual stenosis (black arrow). (F) Lateral projection of a right internal cerebral artery injection displaying no distal small vessel vasospasm.