Abstract
Objective. Hemodynamic instability (hypertension, hypotension and bradycardia) is a well-known complication of carotid endarterectomy. Carotid angioplasty and stenting (CAS) is becoming a valuable alternative treatment for patients with severe carotid stenosis and increased surgical risk. CAS implies instrumentation of the carotid bulb, so baroceptor dysfunction may provoke hemodynamic instability. The aim of this work was to calculate the incidence of this complication and to detect factors to predict it. Methods. Medical records and angiograms of 51 consecutive patients submitted to CAS for severe atherosclerotic stenosis (40 cases) or postsurgical restenosis (11 cases) were retrospectively reviewed in order to detect the occurrence of intra- and post-procedural hypertension (systolic blood pressure >160 mmHg), hypotension (systolic blood pressure
| Original language | English |
|---|---|
| Pages (from-to) | 639-645 |
| Number of pages | 7 |
| Journal | Acta Neurochirurgica |
| Volume | 148 |
| Issue number | 6 |
| DOIs | |
| Publication status | Published - Jun 2006 |
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Keywords
- Bradycardia
- Carotid sinus
- Carotid stenting
- Hypertension
- Hypotension
ASJC Scopus subject areas
- Clinical Neurology
- Surgery
Cite this
Hemodynamic instability after extracranial carotid stenting. / Pappadà, G.; Beghi, E.; Marina, R.; Agostoni, E.; Cesana, C.; Legnani, F.; Parolin, M.; Petri, D.; Sganzerla, E. P.
In: Acta Neurochirurgica, Vol. 148, No. 6, 06.2006, p. 639-645.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Hemodynamic instability after extracranial carotid stenting
AU - Pappadà, G.
AU - Beghi, E.
AU - Marina, R.
AU - Agostoni, E.
AU - Cesana, C.
AU - Legnani, F.
AU - Parolin, M.
AU - Petri, D.
AU - Sganzerla, E. P.
PY - 2006/6
Y1 - 2006/6
N2 - Objective. Hemodynamic instability (hypertension, hypotension and bradycardia) is a well-known complication of carotid endarterectomy. Carotid angioplasty and stenting (CAS) is becoming a valuable alternative treatment for patients with severe carotid stenosis and increased surgical risk. CAS implies instrumentation of the carotid bulb, so baroceptor dysfunction may provoke hemodynamic instability. The aim of this work was to calculate the incidence of this complication and to detect factors to predict it. Methods. Medical records and angiograms of 51 consecutive patients submitted to CAS for severe atherosclerotic stenosis (40 cases) or postsurgical restenosis (11 cases) were retrospectively reviewed in order to detect the occurrence of intra- and post-procedural hypertension (systolic blood pressure >160 mmHg), hypotension (systolic blood pressure
AB - Objective. Hemodynamic instability (hypertension, hypotension and bradycardia) is a well-known complication of carotid endarterectomy. Carotid angioplasty and stenting (CAS) is becoming a valuable alternative treatment for patients with severe carotid stenosis and increased surgical risk. CAS implies instrumentation of the carotid bulb, so baroceptor dysfunction may provoke hemodynamic instability. The aim of this work was to calculate the incidence of this complication and to detect factors to predict it. Methods. Medical records and angiograms of 51 consecutive patients submitted to CAS for severe atherosclerotic stenosis (40 cases) or postsurgical restenosis (11 cases) were retrospectively reviewed in order to detect the occurrence of intra- and post-procedural hypertension (systolic blood pressure >160 mmHg), hypotension (systolic blood pressure
KW - Bradycardia
KW - Carotid sinus
KW - Carotid stenting
KW - Hypertension
KW - Hypotension
UR - http://www.scopus.com/inward/record.url?scp=33745106063&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=33745106063&partnerID=8YFLogxK
U2 - 10.1007/s00701-006-0752-2
DO - 10.1007/s00701-006-0752-2
M3 - Article
C2 - 16523226
AN - SCOPUS:33745106063
VL - 148
SP - 639
EP - 645
JO - Acta Neurochirurgica
JF - Acta Neurochirurgica
SN - 0001-6268
IS - 6
ER -