Subarachnoidal hemorrhage following carotid stenting with the distal-balloon protection

被引:23
作者
Al-Mubarak, N [1 ]
Roubin, GS [1 ]
Vitek, JJ [1 ]
Iyer, SS [1 ]
New, G [1 ]
Leon, MB [1 ]
机构
[1] Lenox Hill Heart & Vasc Inst, New York, NY USA
关键词
carotid stenting; CEA; hyperperfusion; hemorrhage;
D O I
10.1002/ccd.1324
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A 61-year-old man underwent carotid stenting with the distal-balloon protection system for symptomatic carotid artery stenosis. During the procedure, progressive elevation of the systolic blood pressure occurred, reaching a peak of 220 mm Hg immediately following deflation of the distal balloon. This was associated with severe headaches and progressive deterioration in the mental status to a coma. Head CT scan showed massive subarachnoidal hemorrhage contralateral to the stented side and a secondary intracerebral hemorrhage. Despite immediate successful blood pressure control, his condition deteriorated and he died 2 days later. (C) 2001 Wiley-Liss, Inc.
引用
收藏
页码:521 / 523
页数:3
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