Multiple intra-cranial hemorrhages after carotid endarterectomy.
Intra-cerebral hemorrhage is an unusual and often fatal complication of endarterectomy (CEA). Previous cerebral infarction, intra-operative or post operative hypertension, and the use of anti-coagulants are some of the defined major risk factors. Hemorrhage usually occurs early after CEA, and a second hemorrhage has only once been reported. We wish to report a patient who developed three separate hemorrhages following CEA. This patient had a long history of poorly controlled hypertension. We believe that poorly controlled hypertension, in addition to other reported factors, may be an important separate risk factor for post-CEA hemorrhage.
Shuaib
A
A
Department of Clinical Neurosciences, Foothills Hospital.
Hunter
K M
KM
Anderson
M A
MA
D002340:Carotid Artery Diseases / Q000601:surgery*; D002343:Carotid Artery, Internal; D002543:Cerebral Hemorrhage / Q000000981:diagnostic imaging / Q000209:etiology*; D003251:Constriction, Pathologic / Q000601:surgery; D004691:Endarterectomy / Q000009:adverse effects*; D005260:Female; D006801:Humans; D008875:Middle Aged; D012008:Recurrence; D014057:Tomography, X-Ray Computed