Review article
Hyperperfusion and intracranial haemorrhage after carotid angioplasty with stenting – latest review
SERGEJA KOZAR
; Clinical Department of Anaesthesiology and Intensive Therapy, University Medical Centre Ljubljana, Vrunceva ulica 5, SI - 2380 Slovenj Gradec, Slovenia
MIRAN JEROMEL
; Department for Diagnostic and Interventional Neuroradiology, University Medical Centre Ljubljana, Clinical Institute for Radiology, Ljubljana, Slovenia
Abstract
The number of endovascular procedures is constantly increasing. As far as the carotid artery is concerned, carotid angioplasty
with stenting (CAS) is an alternative to surgical treatment (carotid endarterectomy; CEA).
Two major devastating complications can occur after both procedures – cerebral hyperperfusion syndrome (CHS) and
intracranial haemorrhage (ICH).
The incidence of CHS and ICH in CAS is fortunately low but overall morbidity and mortality remains high.
This latest review re-evaluates the pathogenesis, clinical features, risk factors and diagnostic procedures as well as management
of these two complications.
Keywords
carotid artery stenting; complications; hyperperfusion syndrome; intracranial haemorrhage
Hrčak ID:
134208
URI
Publication date:
1.10.2014.
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