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Reversible cerebral vasoconstriction syndrome following carotid artery revascularization: About three case reports and review of literature.
J Med Vasc
December 2024
Service de neurologie, boulevard Professeur-Jacques-Monod, 44800 Saint-Herblain, France.
Complication after carotid artery revascularization is mainly represented by stroke. Reversible cerebral vasoconstriction syndrome triggering by carotid artery revascularization is exceptional but it is an unrecognized aetiology of stroke. It could be associated with brain edema and henceforth, a posterior reversible encephalopathy syndrome can be confused with post-carotid artery revascularization cerebral hyperperfusion syndrome.
View Article and Find Full Text PDFPost-Carotid Artery Stenting Hyperperfusion Syndrome in a Hypotensive Patient: Case Report and Systematic Review of Literature.
Life (Basel)
November 2024
Department of Vascular Neurology, University Medical Centre Ljubljana, Zaloška cesta 2, SI-1000 Ljubljana, Slovenia.
Article Synopsis
- - Cerebral hyperperfusion syndrome (CHS) is a serious complication that can occur after carotid artery stenting (CAS), primarily in normotensive patients, and is linked to factors like recent carotid stenosis and hemodynamic instability.
- - A systematic literature review revealed a CHS prevalence of 1.2% after CAS and highlighted that while some risk factors are identified, isolated hypotension has not been conclusively linked to CHS development.
- - Although mortality rates from intracranial hemorrhage post-CAS can be high, cases of CHS generally have a better prognosis, suggesting that a more nuanced understanding and further research are necessary for effective diagnosis and management.
Role of Point-of-Care Cerebral Ultrasonography in Determining the Etiology of Post-carotid Endarterectomy Deficit: A Case Report.
Cureus
July 2024
Anesthesia and Critical Care, Mohamed V Military Teaching Hospital, Rabat, MAR.
Carotid revascularization surgery is notorious for its neurological morbimortality. We report the case of a 74-year-old hypertensive patient, who underwent left internal carotid artery endarterectomy for a 90% stenosis under general anesthesia, presenting in the immediate postoperative period with right hemiplegia without consciousness disorders. Evaluation by cerebral ultrasound at bedside led to suspicion of intracerebral hemorrhage, which was confirmed by cerebral CT scan.
View Article and Find Full Text PDFComplications of Carotid Interventions for Symptomatic Lesions after Systemic Thrombolysis.
Ann Vasc Surg
September 2024
Division of Vascular and Endovascular Surgery, Massachusetts General Hospital, Boston, MA.
Background: Series detailing complications after carotid endarterectomy (CEA) and transfemoral carotid stenting (tfCAS) for patients presenting with neurologic symptoms that are treated with systemic thrombolysis (ST) are sparse. We sought to determine if treatment with ST was associated with a higher rate of post-carotid intervention complications.
Methods: A multispecialty, institutional, prospectively maintained database was queried for symptomatic patients treated with CEA or tfCAS from 2007 to 2019.
Postcarotid Endarterectomy Reperfusion Injury and Hemorrhage.
Stroke
July 2024
Department of Neurology, University Hospitals Cleveland Medical Center, OH (A.O., B.Y., S.S.).
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