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Vascular Balloon Injury and Intraluminal Administration in Rat Carotid Artery
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Subarachnoidal hemorrhage following carotid stenting with the distal-balloon protection

N Al-Mubarak1, G S Roubin, J J Vitek

  • 1The Lenox Hill Heart and Vascular Institute of New York, New York, NY, USA.

Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions
|December 18, 2001
PubMed

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.

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