Subarachnoidal hemorrhage following carotid stenting with the distal-balloon protection.
A 61-year-old man underwent carotid stenting with the distal-balloon protection system for symptomatic carotid artery stenosis. During the procedure, progressive elevation of the systolic blood pressure occurred, reaching a peak of 220 mm Hg immediately following deflation of the distal balloon. This was associated with severe headaches and progressive deterioration in the mental status to a coma. Head CT scan showed massive subarachnoidal hemorrhage contralateral to the stented side and a secondary intracerebral hemorrhage. Despite immediate successful blood pressure control, his condition deteriorated and he died 2 days later.
Al-Mubarak
N
N
The Lenox Hill Heart and Vascular Institute of New York, New York, NY, USA.
Roubin
G S
GS
Vitek
J J
JJ
Iyer
S S
SS
New
G
G
Leon
M B
MB
D002343:Carotid Artery, Internal / Q000601:surgery*; D016893:Carotid Stenosis / Q000150:complications* / Q000601:surgery*; D002404:Catheterization / Q000295:instrumentation*; D016894:Endarterectomy, Carotid / Q000009:adverse effects / Q000295:instrumentation; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology; D015607:Stents / Q000009:adverse effects*; D013345:Subarachnoid Hemorrhage / Q000209:etiology*