Predictors and Consequences of Hemodynamic Instability after Carotid Artery Stenting

Background The purpose of this study was to determine the predictors and consequences of hemodynamic instability (HI) after carotid artery stenting (CAS). Methods The records of all patients undergoing CAS in a single institution were reviewed. Patient demographics and risk factors were recorded. In...

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Veröffentlicht in:	Annals of vascular surgery 2015-08, Vol.29 (6), p.1281-1285
Hauptverfasser:	Wu, Tiffany Y, Ham, Sung W, Katz, Steven G
Format:	Artikel
Sprache:	eng
Schlagworte:	Aged Aged, 80 and over Angioplasty, Balloon - adverse effects Angioplasty, Balloon - instrumentation Blood Pressure Bradycardia - diagnosis Bradycardia - etiology Bradycardia - mortality Bradycardia - physiopathology California Carotid Stenosis - diagnosis Carotid Stenosis - physiopathology Carotid Stenosis - therapy Chi-Square Distribution Female Heart Rate Hemodynamics Humans Hypertension - diagnosis Hypertension - etiology Hypertension - mortality Hypertension - physiopathology Hypotension - diagnosis Hypotension - etiology Hypotension - mortality Hypotension - physiopathology Ischemic Attack, Transient - etiology Ischemic Attack, Transient - mortality Ischemic Attack, Transient - physiopathology Logistic Models Male Middle Aged Myocardial Infarction - etiology Myocardial Infarction - mortality Myocardial Infarction - physiopathology Odds Ratio Retrospective Studies Risk Assessment Risk Factors Severity of Illness Index Stents Stroke - etiology Stroke - mortality Stroke - physiopathology Surgery Time Factors Treatment Outcome
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Zusammenfassung:	Background The purpose of this study was to determine the predictors and consequences of hemodynamic instability (HI) after carotid artery stenting (CAS). Methods The records of all patients undergoing CAS in a single institution were reviewed. Patient demographics and risk factors were recorded. Indications for CAS, medications including statins, atropine, and beta blockers, anatomic risk factors, balloon and stent length and diameter, and degree of stenosis were noted. The presence of periprocedural hypertension (systolic blood pressure [SBP] >160), hypotension (SBP
ISSN:	0890-5096 1615-5947
DOI:	10.1016/j.avsg.2015.03.035