Hemodynamic instability after extracranial carotid stenting

G. Pappadà, E. Beghi, R. Marina, E. Agostoni, C. Cesana, F. Legnani, M. Parolin, D. Petri, E. P. Sganzerla

Research output: Contribution to journalArticle

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 languageEnglish
Pages (from-to)639-645
Number of pages7
JournalActa Neurochirurgica
Volume148
Issue number6
DOIs
Publication statusPublished - Jun 2006

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Keywords

  • Bradycardia
  • Carotid sinus
  • Carotid stenting
  • Hypertension
  • Hypotension

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery

Cite this

Pappadà, G., Beghi, E., Marina, R., Agostoni, E., Cesana, C., Legnani, F., Parolin, M., Petri, D., & Sganzerla, E. P. (2006). Hemodynamic instability after extracranial carotid stenting. Acta Neurochirurgica, 148(6), 639-645. https://doi.org/10.1007/s00701-006-0752-2