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 |
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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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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.</description><identifier>ISSN: 0741-5214</identifier><identifier>EISSN: 1097-6809</identifier><identifier>DOI: 10.1016/j.jvs.2013.04.051</identifier><identifier>PMID: 23769942</identifier><language>eng</language><publisher>United States: Mosby, Inc</publisher><subject>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</subject><ispartof>Journal of vascular surgery, 2014-03, Vol.59 (3), p.821-824</ispartof><rights>Society for Vascular Surgery</rights><rights>2014 Society for Vascular Surgery</rights><rights>Copyright © 2014 Society for Vascular Surgery. Published by Mosby, Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c403t-70ef5c0b5238a2ef7c69d99f79ed1eff1dd77b9fb40d033f376fa6da1bb6d7313</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jvs.2013.04.051$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>314,777,781,3537,27905,27906,45976</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23769942$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Takami, Hirokazu, MD</creatorcontrib><creatorcontrib>Hanakawa, Kazuo, MD</creatorcontrib><creatorcontrib>Sato, Hiroaki, MD</creatorcontrib><creatorcontrib>Tsutsumi, Kyouske, MD</creatorcontrib><creatorcontrib>Murao, Masahiko, MD</creatorcontrib><creatorcontrib>Ide, Takafumi, MD</creatorcontrib><title>Contralateral hyperacute intracerebral hemorrhage after carotid artery stenting with contralateral internal carotid artery occlusion</title><title>Journal of vascular surgery</title><addtitle>J Vasc Surg</addtitle><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.</description><subject>Aged, 80 and over</subject><subject>Angioplasty, Balloon - adverse effects</subject><subject>Angioplasty, Balloon - instrumentation</subject><subject>Carotid Artery, Internal - diagnostic imaging</subject><subject>Carotid Artery, Internal - physiopathology</subject><subject>Carotid Stenosis - complications</subject><subject>Carotid Stenosis - diagnosis</subject><subject>Carotid Stenosis - physiopathology</subject><subject>Carotid Stenosis - therapy</subject><subject>Cerebral Angiography</subject><subject>Cerebral Hemorrhage - diagnosis</subject><subject>Cerebral Hemorrhage - etiology</subject><subject>Cerebral Hemorrhage - physiopathology</subject><subject>Cerebrovascular Circulation</subject><subject>Circle of Willis - physiopathology</subject><subject>Collateral Circulation</subject><subject>Humans</subject><subject>Magnetic Resonance Angiography</subject><subject>Male</subject><subject>Middle Cerebral Artery - physiopathology</subject><subject>Regional Blood Flow</subject><subject>Severity of Illness Index</subject><subject>Stents</subject><subject>Surgery</subject><subject>Time Factors</subject><subject>Treatment Outcome</subject><issn>0741-5214</issn><issn>1097-6809</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kU-PFCEQxYnRuOPqB_Bi-uil2wK6myEmJmbiv2QTD-qZ0FDs0PY0I9C7mbsfXNpZTdyDF4qC915SvyLkOYWGAu1fjc14kxoGlDfQNtDRB2RDQYq634J8SDYgWlp3jLYX5ElKIwCl3VY8JheMi17Klm3Iz12Yc9STzljOan86lmqWjJVf3w1GHH5_4CHEuNfXWGlXtJXRMWRvKx1Ld6pSxjn7-bq69XlfmX9CSxLGuVzueYIx05J8mJ-SR05PCZ_d1Uvy7f27r7uP9dXnD592b69q0wLPtQB0nYGhY3yrGTphemmldEKipegctVaIQbqhBQucuzKk073VdBh6Kzjll-TlOfcYw48FU1YHnwxOk54xLEnRDnjXCsnaIqVnqYkhpYhOHaM_6HhSFNQKX42qwFcrfAWtKvCL58Vd_DIc0P51_KFdBK_PAixD3niMKhmPs0HrI5qsbPD_jX9zz20mP3ujp-94wjSGZYVcplCJKVBf1u2vy6ccYCs4478AWj6u-Q</recordid><startdate>20140301</startdate><enddate>20140301</enddate><creator>Takami, Hirokazu, MD</creator><creator>Hanakawa, Kazuo, MD</creator><creator>Sato, Hiroaki, MD</creator><creator>Tsutsumi, Kyouske, MD</creator><creator>Murao, Masahiko, MD</creator><creator>Ide, Takafumi, MD</creator><general>Mosby, Inc</general><scope>6I.</scope><scope>AAFTH</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20140301</creationdate><title>Contralateral hyperacute intracerebral hemorrhage after carotid artery stenting with contralateral internal carotid artery occlusion</title><author>Takami, Hirokazu, MD ; Hanakawa, Kazuo, MD ; Sato, Hiroaki, MD ; Tsutsumi, Kyouske, MD ; Murao, Masahiko, MD ; Ide, Takafumi, MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c403t-70ef5c0b5238a2ef7c69d99f79ed1eff1dd77b9fb40d033f376fa6da1bb6d7313</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Aged, 80 and over</topic><topic>Angioplasty, Balloon - adverse effects</topic><topic>Angioplasty, Balloon - instrumentation</topic><topic>Carotid Artery, Internal - diagnostic imaging</topic><topic>Carotid Artery, Internal - physiopathology</topic><topic>Carotid Stenosis - complications</topic><topic>Carotid Stenosis - diagnosis</topic><topic>Carotid Stenosis - physiopathology</topic><topic>Carotid Stenosis - therapy</topic><topic>Cerebral Angiography</topic><topic>Cerebral Hemorrhage - diagnosis</topic><topic>Cerebral Hemorrhage - etiology</topic><topic>Cerebral Hemorrhage - physiopathology</topic><topic>Cerebrovascular Circulation</topic><topic>Circle of Willis - physiopathology</topic><topic>Collateral Circulation</topic><topic>Humans</topic><topic>Magnetic Resonance Angiography</topic><topic>Male</topic><topic>Middle Cerebral Artery - physiopathology</topic><topic>Regional Blood Flow</topic><topic>Severity of Illness Index</topic><topic>Stents</topic><topic>Surgery</topic><topic>Time Factors</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Takami, Hirokazu, MD</creatorcontrib><creatorcontrib>Hanakawa, Kazuo, MD</creatorcontrib><creatorcontrib>Sato, Hiroaki, MD</creatorcontrib><creatorcontrib>Tsutsumi, Kyouske, MD</creatorcontrib><creatorcontrib>Murao, Masahiko, MD</creatorcontrib><creatorcontrib>Ide, Takafumi, MD</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of vascular surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Takami, Hirokazu, MD</au><au>Hanakawa, Kazuo, MD</au><au>Sato, Hiroaki, MD</au><au>Tsutsumi, Kyouske, MD</au><au>Murao, Masahiko, MD</au><au>Ide, Takafumi, MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Contralateral hyperacute intracerebral hemorrhage after carotid artery stenting with contralateral internal carotid artery occlusion</atitle><jtitle>Journal of vascular surgery</jtitle><addtitle>J Vasc Surg</addtitle><date>2014-03-01</date><risdate>2014</risdate><volume>59</volume><issue>3</issue><spage>821</spage><epage>824</epage><pages>821-824</pages><issn>0741-5214</issn><eissn>1097-6809</eissn><abstract>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.</abstract><cop>United States</cop><pub>Mosby, Inc</pub><pmid>23769942</pmid><doi>10.1016/j.jvs.2013.04.051</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
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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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