[Hyperperfusion syndrome as a complication of percutaneous transluminal angioplasty of the internal carotid artery].

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.

journal_name

Rev Neurol

journal_title

Revista de neurologia

authors

González A,Mayol A,Gil-Peralta A,González-Marcos JR,Boza F,Ruano J

subject

Has Abstract

pub_date

1999-11-16 00:00:00

pages

923-5

issue

10

eissn

0210-0010

issn

1576-6578

journal_volume

29

pub_type

杂志文章
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  • [Muscarinic receptors on lymphocytes].

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  • [Increase in the incidence of occipital plagiocephaly].

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  • [Benign neonatal sleep myoclonus].

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