Cerebral hemorrhage with angiographic extravasation immediately after carotid artery stenting.
Recognizing cerebral hyperperfusion syndrome with intracerebral hemorrhage following carotid artery stenting is critical because the mortality rate is high. This type of hemorrhage usually arises from within several hours to a few days after the procedure. Here we describe a putaminal hemorrhage with extravasation during angiography that developed immediately after carotid artery stenting. A search of the literature revealed only one other similar case report. The etiology of the intracerebral hemorrhage immediately after carotid stenting might be analogous to that of hypertensive hemorrhage.
Takayama
Katsutoshi
K
Department of Interventional Neuroradiology, Ishinkai Yao General Hospital, 1-41 Numa, Yao, 581-0081, Japan. takayamaneuroivs@par.odn.ne.jp
Nakagawa
Hiroyuki
H
Iwasaki
Satoru
S
Taoka
Toshiaki
T
Wada
Takeshi
T
Myouchin
Kaoru
K
Sakamoto
Masahiko
M
Fukusumi
Akio
A
Kichikawa
Kimihiko
K
D000368:Aged; D015901:Angiography, Digital Subtraction; D016893:Carotid Stenosis / Q000175:diagnosis* / Q000628:therapy*; D002404:Catheterization; D002533:Cerebral Angiography; D002543:Cerebral Hemorrhage / Q000175:diagnosis* / Q000209:etiology*; D003287:Contrast Media; D005119:Extravasation of Diagnostic and Therapeutic Materials; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D015607:Stents / Q000009:adverse effects*; D015899:Tomography, Emission-Computed, Single-Photon; D014057:Tomography, X-Ray Computed; D014654:Vascular Patency
D003287:Contrast Media
J Neurosurg. 1988 Apr;68(4):532-6
3351580
J Vasc Surg. 1999 Jan;29(1):82-7; discussion 87-9
9882792
Stroke. 1999 Nov;30(11):2483-6
10548688
J Neurosurg. 1986 Jan;64(1):29-34
3941347
AJNR Am J Neuroradiol. 2000 Nov-Dec;21(10 ):1911-6
11110546
Neurosurgery. 2003 Nov;53(5):1053-58; discussion 1058-60
14580271
AJNR Am J Neuroradiol. 2006 Aug;27(7):1508-13
16908570
J Neuroradiol. 2004 Jan;31(1):63-6
15026733
Stroke. 2002 Jul;33(7):1916-9
12105375
J Vasc Surg. 1988 Feb;7(2):248-55
3339770
Cardiovasc Intervent Radiol. 2005 Jul-Aug;28(4):502-5
15959700
Stroke. 2000 Mar;31(3):793-4
10700521
J Endovasc Surg. 1999 Nov;6(4):337-41
10893135
Stroke. 2000 Mar;31(3):792-3
10700520
Neuroradiology. 2004 May;46(5):399-403
15098142
Catheter Cardiovasc Interv. 2001 Dec;54(4):521-3
11747193
J Am Coll Cardiol. 2004 May 5;43(9):1596-601
15120817