Subarachnoidal hemorrhage following carotid stenting with the distal‐balloon protection | Zendy

AlMubarak Nadim | Zendy; Roubin Gary S. | Zendy; Vitek Jiri J. | Zendy; Iyer Sriram S. | Zendy; New Gishel | Zendy; Leon Martin B. | Zendy

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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.

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