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Vasoconstriction and hyperperfusion syndrome after carotid artery stenting

BackgroundCommon complications of carotid artery stenting (CAS) are cerebral ischemia and hyperperfusion syndrome. To date, only a few cases of late-onset cerebral vasoconstriction occurring several hours after CAS have been reported. However, there are no reports of developed vasoconstriction and h...

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Bibliographic Details
Published in:The Egyptian Journal of Neurology, Psychiatry and Neurosurgery Psychiatry and Neurosurgery, 2022-02, Vol.58 (1), p.1-4
Main Authors: Kobayashi Yuya, Morizumi Teruya, Okumura Gaku, Nagamatsu Kiyoshiro, Shimizu Yusaku, Sasaki Tetsuo, Sato, Atsushi
Format: Article
Language:English
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Summary:BackgroundCommon complications of carotid artery stenting (CAS) are cerebral ischemia and hyperperfusion syndrome. To date, only a few cases of late-onset cerebral vasoconstriction occurring several hours after CAS have been reported. However, there are no reports of developed vasoconstriction and hyperperfusion syndrome.Case presentationA 79-year-old man developed vasoconstriction 1 day after carotid artery stenting. Vasoconstriction improved immediately with glucocorticoid. However, a week later, the patient developed hyperperfusion syndrome.ConclusionsPostoperative vasoconstriction and hyperperfusion syndrome is an unrecognized complication and surgeons should be aware of it.
ISSN:1110-1083
1687-8329
DOI:10.1186/s41983-022-00456-y