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Subarachnoidal hemorrhage following carotid stenting with the distal‐balloon protection
Author(s) -
AlMubarak Nadim,
Roubin Gary S.,
Vitek Jiri J.,
Iyer Sriram S.,
New Gishel,
Leon Martin B.
Publication year - 2001
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.1324
Subject(s) - medicine , balloon , blood pressure , carotid stenting , stenosis , headaches , cardiology , surgery , angioplasty , carotid arteries , radiology , carotid endarterectomy
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. Cathet Cardiovasc Intervent 2001;54:521–523. © 2001 Wiley‐Liss, Inc.