[Hyperperfusion syndrome as a complication of percutaneous transluminal angioplasty of the internal carotid artery]. / Síndrome de hiperperfusión como complicación de la angioplastia transluminal percutánea de la arteria carótida interna.
Rev Neurol
; 29(10): 923-5, 1999.
Article
em Es
| MEDLINE
| ID: mdl-10637840
ABSTRACT
INTRODUCTION:
The hyperperfusion syndrome (HS) is described as an infrequent complication of carotid endarterectomy. It may also occur in percutaneous transluminal carotid angioplasty with a similar causal mechanism and clinical features to those seen in HS related to carotid endarterectomy. CLINICAL CASE We describe the case of a 69 year old man who developed HS at the time of transluminal carotid angioplasty and 'stenting' of symptomatic, pre-occlusive stenosis of the left internal carotid artery. This complication was not detected on the postoperative arteriography. On CT the presence of a hemispheric hematoma was confirmed. It is thought that HS is caused by a fault in autoregulation of the cerebral blood flow following correction of vascular stenosis in previously ischemic territory.CONCLUSIONS:
Most of the early complications of transluminal carotid angioplasty are ischemic. HS is rare but is a possible complication of transluminal carotid angioplasty and therefore meticulous control of the blood pressure is necessary. A CT scan after any atypical complication of angioplasty may be considered to be essential.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Hemorragia Cerebral
/
Estenose das Carótidas
/
Angioplastia com Balão
Limite:
Aged
/
Humans
/
Male
Idioma:
Es
Revista:
Rev Neurol
Ano de publicação:
1999
Tipo de documento:
Article