[Clinical study about the management of hemodynamic instability during carotid stenting angioplasty].
OBJECTIVE
To evaluate the validity of different treatment for minimizing the complications caused by hemodynamic changes during stenting angioplasty of carotid stenoses.


METHODS
There was no special measure for 80 of 205 cases during angioplasty. General blood pressure was controlled strictly to normal lower limit for avoiding intracranial reperfusion bleeding and angioplasty was done after elevated heart rate to 80 per minute in the remaining 125 cases.


RESULTS
There were 8.8% complications in 80 cases and no obviously complication occurred in 125 cases controlling hemodynamic changes. Follow-up period from 1 months to 5 years, there was no marked restenosis.


CONCLUSIONS
Regulating hemodynamic changes should be emphasized for reducing complications and improving the effect of carotid artery stenting.
Li
Bao-Min
BM
Department of Neurosurgery, Genenral Hospital of PLA, Beijing 100853, China. baominli@sina.com
Li
Sheng
S
Wang
Jun
J
Cao
Xiang-Yu
XY
Xu
Bai-Nan
BN
Zhou
Ding-Biao
DB
D000368:Aged; D000369:Aged, 80 and over; D000800:Angioplasty, Balloon; D001794:Blood Pressure / Q000502:physiology; D016893:Carotid Stenosis / Q000503:physiopathology / Q000628:therapy*; D005260:Female; D005500:Follow-Up Studies; D006339:Heart Rate / Q000502:physiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D016343:Monitoring, Intraoperative; D015607:Stents