Contralateral hyperacute intracerebral hemorrhage after carotid artery stenting with contralateral internal carotid artery occlusion

An 87-year-old man sustained an intracerebral hemorrhage in the watershed area of the contralateral frontal lobe immediately after carotid artery stenting (CAS) for severe cervical internal carotid artery (ICA) stenosis. The contralateral cervical ICA was occluded. CAS resulted in increased cross-fl...

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Veröffentlicht in:Journal of vascular surgery 2014-03, Vol.59 (3), p.821-824
Hauptverfasser: Takami, Hirokazu, MD, Hanakawa, Kazuo, MD, Sato, Hiroaki, MD, Tsutsumi, Kyouske, MD, Murao, Masahiko, MD, Ide, Takafumi, MD
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container_end_page 824
container_issue 3
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container_title Journal of vascular surgery
container_volume 59
creator Takami, Hirokazu, MD
Hanakawa, Kazuo, MD
Sato, Hiroaki, MD
Tsutsumi, Kyouske, MD
Murao, Masahiko, MD
Ide, Takafumi, MD
description An 87-year-old man sustained an intracerebral hemorrhage in the watershed area of the contralateral frontal lobe immediately after carotid artery stenting (CAS) for severe cervical internal carotid artery (ICA) stenosis. The contralateral cervical ICA was occluded. CAS resulted in increased cross-flow through the anterior communicating artery and increased flow in the contralateral middle cerebral artery. This case demonstrates that CAS in patients with contralateral ICA occlusion and insufficient collateral flow can cause dramatically increased collateral flow through the circle of Willis and result in contralateral hyperperfusion. In patients with severely compromised cerebral perfusion, measures should be taken to prevent hyperperfusion-related complications.
doi_str_mv 10.1016/j.jvs.2013.04.051
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source MEDLINE; Elsevier ScienceDirect Journals; EZB-FREE-00999 freely available EZB journals
subjects Aged, 80 and over
Angioplasty, Balloon - adverse effects
Angioplasty, Balloon - instrumentation
Carotid Artery, Internal - diagnostic imaging
Carotid Artery, Internal - physiopathology
Carotid Stenosis - complications
Carotid Stenosis - diagnosis
Carotid Stenosis - physiopathology
Carotid Stenosis - therapy
Cerebral Angiography
Cerebral Hemorrhage - diagnosis
Cerebral Hemorrhage - etiology
Cerebral Hemorrhage - physiopathology
Cerebrovascular Circulation
Circle of Willis - physiopathology
Collateral Circulation
Humans
Magnetic Resonance Angiography
Male
Middle Cerebral Artery - physiopathology
Regional Blood Flow
Severity of Illness Index
Stents
Surgery
Time Factors
Treatment Outcome
title Contralateral hyperacute intracerebral hemorrhage after carotid artery stenting with contralateral internal carotid artery occlusion
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