title: Thalamic hemorrhage following carotid angioplasty and stenting.
abstract: Carotid angioplasty and stenting (CAS) has emerged as an alternative treatment of carotid stenosis for patients poorly suited for endarterectomy. Intracerebral hemorrhage following carotid revascularization is rare and thought to be related to hyperperfusion injury in most cases. Early experience suggests an increased incidence of hemorrhage following CAS as compared to endarterectomy. We describe a patient who suffered a thalamic hemorrhage following CAS. Because this hemorrhage occurred in a vascular territory unlikely to have been supplied by the treated artery, this case suggests that the mechanism of intracerebral hemorrhage following CAS may in some cases be different from the hyperperfusion hemorrhage classically described following endarterectomy.
authors.affiliation: Section of Neurosurgery, Dartmouth Hitchcock Medical Center, One Medical Center Drive, Lebanon, NH 03756, USA. Jonathan.A.Friedman@hitchcock.org
authors.forename: Jonathan A
authors.initials: JA
authors.lastname: Friedman
authors.forename: David F
authors.initials: DF
authors.lastname: Kallmes
authors.forename: Eelco F M
authors.initials: EF
authors.lastname: Wijdicks
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D017130:Angioplasty / Q000009:adverse effects*; D002339:Carotid Arteries / Q000601:surgery*; D016893:Carotid Stenosis / Q000601:surgery; D006801:Humans; D020300:Intracranial Hemorrhages / Q000209:etiology*; D008297:Male; D015607:Stents; D013786:Thalamic Diseases / Q000209:etiology*