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Horner Syndrome Related to Ipsilateral Carotid Wall Hematoma after Stent Placement for the Treatment of Carotid Stenoses
We prospectively studied the incidence and natural history of Horner syndrome following stent-supported percutaneous angioplasty of the carotid artery (SPAC). We assessed the hypothesis that postinterventional Horner syndrome is related to ipsilateral carotid wall hematoma. We performed duplex sonog...
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Published in: | American journal of neuroradiology : AJNR 2003-09, Vol.24 (8), p.1508-1511 |
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creator | Rosenkranz, Michael Eckert, Bernd Niesen, Wolf-Dirk Weiller, Cornelius Sliwka, Ulrich |
description | We prospectively studied the incidence and natural history of Horner syndrome following stent-supported percutaneous angioplasty of the carotid artery (SPAC). We assessed the hypothesis that postinterventional Horner syndrome is related to ipsilateral carotid wall hematoma.
We performed duplex sonography of the carotid arteries and clinical examination in 28 consecutive patients before and 4 hours +/- 2, 24 hours +/- 2, and 7 days +/- 1 after SPAC.
Within 24 hours +/- 2 after SPAC, 11 of the 28 patients developed ipsilateral Horner syndrome. Ten of these 11 patients had a postinterventional sonographic appearance of a carotid wall hematoma, whereas only two of the 17 patients without Horner syndrome had this finding (P |
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We performed duplex sonography of the carotid arteries and clinical examination in 28 consecutive patients before and 4 hours +/- 2, 24 hours +/- 2, and 7 days +/- 1 after SPAC.
Within 24 hours +/- 2 after SPAC, 11 of the 28 patients developed ipsilateral Horner syndrome. Ten of these 11 patients had a postinterventional sonographic appearance of a carotid wall hematoma, whereas only two of the 17 patients without Horner syndrome had this finding (P <.001). In all patients, both Horner syndrome and carotid wall hematoma had resolved 7 days +/- 1 after SPAC.
Horner syndrome appears to be a common yet transient event after SPAC. Although postinterventional Horner syndrome is significantly related to ipsilateral carotid wall hematoma, causality of the procedure-related formation of a carotid wall hematoma and oculosympathetic disturbance remains unproven.</description><identifier>ISSN: 0195-6108</identifier><identifier>EISSN: 1936-959X</identifier><identifier>PMID: 13679260</identifier><identifier>CODEN: AAJNDL</identifier><language>eng</language><publisher>Oak Brook, IL: Am Soc Neuroradiology</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Angioplasty, Balloon - adverse effects ; Biological and medical sciences ; Carotid Artery Injuries - diagnostic imaging ; Carotid Artery Injuries - etiology ; Carotid Artery, Internal - diagnostic imaging ; Carotid Stenosis - diagnostic imaging ; Carotid Stenosis - therapy ; Female ; Follow-Up Studies ; Functional Laterality - physiology ; Hematoma - diagnostic imaging ; Hematoma - etiology ; Horner Syndrome - diagnostic imaging ; Horner Syndrome - etiology ; Humans ; Interventional ; Male ; Medical sciences ; Middle Aged ; Muscle, Smooth, Vascular - diagnostic imaging ; Muscle, Smooth, Vascular - injuries ; Neurology ; Prospective Studies ; Sensitivity and Specificity ; Stents - adverse effects ; Ultrasonography, Doppler, Duplex ; Vascular diseases and vascular malformations of the nervous system</subject><ispartof>American journal of neuroradiology : AJNR, 2003-09, Vol.24 (8), p.1508-1511</ispartof><rights>2004 INIST-CNRS</rights><rights>Copyright © American Society of Neuroradiology 2003</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7973998/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7973998/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,53791,53793</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=15158630$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/13679260$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Rosenkranz, Michael</creatorcontrib><creatorcontrib>Eckert, Bernd</creatorcontrib><creatorcontrib>Niesen, Wolf-Dirk</creatorcontrib><creatorcontrib>Weiller, Cornelius</creatorcontrib><creatorcontrib>Sliwka, Ulrich</creatorcontrib><title>Horner Syndrome Related to Ipsilateral Carotid Wall Hematoma after Stent Placement for the Treatment of Carotid Stenoses</title><title>American journal of neuroradiology : AJNR</title><addtitle>AJNR Am J Neuroradiol</addtitle><description>We prospectively studied the incidence and natural history of Horner syndrome following stent-supported percutaneous angioplasty of the carotid artery (SPAC). We assessed the hypothesis that postinterventional Horner syndrome is related to ipsilateral carotid wall hematoma.
We performed duplex sonography of the carotid arteries and clinical examination in 28 consecutive patients before and 4 hours +/- 2, 24 hours +/- 2, and 7 days +/- 1 after SPAC.
Within 24 hours +/- 2 after SPAC, 11 of the 28 patients developed ipsilateral Horner syndrome. Ten of these 11 patients had a postinterventional sonographic appearance of a carotid wall hematoma, whereas only two of the 17 patients without Horner syndrome had this finding (P <.001). In all patients, both Horner syndrome and carotid wall hematoma had resolved 7 days +/- 1 after SPAC.
Horner syndrome appears to be a common yet transient event after SPAC. Although postinterventional Horner syndrome is significantly related to ipsilateral carotid wall hematoma, causality of the procedure-related formation of a carotid wall hematoma and oculosympathetic disturbance remains unproven.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Angioplasty, Balloon - adverse effects</subject><subject>Biological and medical sciences</subject><subject>Carotid Artery Injuries - diagnostic imaging</subject><subject>Carotid Artery Injuries - etiology</subject><subject>Carotid Artery, Internal - diagnostic imaging</subject><subject>Carotid Stenosis - diagnostic imaging</subject><subject>Carotid Stenosis - therapy</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Functional Laterality - physiology</subject><subject>Hematoma - diagnostic imaging</subject><subject>Hematoma - etiology</subject><subject>Horner Syndrome - diagnostic imaging</subject><subject>Horner Syndrome - etiology</subject><subject>Humans</subject><subject>Interventional</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Muscle, Smooth, Vascular - diagnostic imaging</subject><subject>Muscle, Smooth, Vascular - injuries</subject><subject>Neurology</subject><subject>Prospective Studies</subject><subject>Sensitivity and Specificity</subject><subject>Stents - adverse effects</subject><subject>Ultrasonography, Doppler, Duplex</subject><subject>Vascular diseases and vascular malformations of the nervous system</subject><issn>0195-6108</issn><issn>1936-959X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><recordid>eNpVkF1vFCEUhidGY9fqXzDc6N0kMAxfNyZmo26TJja1pr0jZ4DpYJhhBda1_15Wtx9eAYeH5-WcZ82KKMpbxdTN82aFiWItJ1ieNK9y_oExZkp0L5sTQrlQHcer5vcmpsUl9O1usSnODl26AMVZVCI622Z_OCQIaA0pFm_RNYSANm6GEmdAMJbD2-KWgi4CGDcfdmNMqEwOXSUH5W8ljg-CAxyzy6-bFyOE7N4c19Pm--dPV-tNe_71y9n643k70Y6W1vaE9dBxBWZwhHeEjqa3XPXc9MT21g7SAgzGKI55JwBY7dlwMUgqqQBFT5sP_7zb3TA7a-p3aj96m_wM6U5H8Pr_m8VP-jb-0kIJqpSsgvdHQYo_dy4XPftsXAiwuLjLWlDGmexFBd8-TXqIuB92Bd4dAcgGwphgMT4_cowwySl-TJz87bT3yek817FXLdH7_b7rtawwlvQPXC6ZeQ</recordid><startdate>20030901</startdate><enddate>20030901</enddate><creator>Rosenkranz, Michael</creator><creator>Eckert, Bernd</creator><creator>Niesen, Wolf-Dirk</creator><creator>Weiller, Cornelius</creator><creator>Sliwka, Ulrich</creator><general>Am Soc Neuroradiology</general><general>American Society of Neuroradiology</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20030901</creationdate><title>Horner Syndrome Related to Ipsilateral Carotid Wall Hematoma after Stent Placement for the Treatment of Carotid Stenoses</title><author>Rosenkranz, Michael ; Eckert, Bernd ; Niesen, Wolf-Dirk ; Weiller, Cornelius ; Sliwka, Ulrich</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-h323t-d4154a269acbe16213fc4d6946c41d4ddb8daabcc960627aa5195c67b83837a93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Angioplasty, Balloon - adverse effects</topic><topic>Biological and medical sciences</topic><topic>Carotid Artery Injuries - diagnostic imaging</topic><topic>Carotid Artery Injuries - etiology</topic><topic>Carotid Artery, Internal - diagnostic imaging</topic><topic>Carotid Stenosis - diagnostic imaging</topic><topic>Carotid Stenosis - therapy</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Functional Laterality - physiology</topic><topic>Hematoma - diagnostic imaging</topic><topic>Hematoma - etiology</topic><topic>Horner Syndrome - diagnostic imaging</topic><topic>Horner Syndrome - etiology</topic><topic>Humans</topic><topic>Interventional</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Muscle, Smooth, Vascular - diagnostic imaging</topic><topic>Muscle, Smooth, Vascular - injuries</topic><topic>Neurology</topic><topic>Prospective Studies</topic><topic>Sensitivity and Specificity</topic><topic>Stents - adverse effects</topic><topic>Ultrasonography, Doppler, Duplex</topic><topic>Vascular diseases and vascular malformations of the nervous system</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Rosenkranz, Michael</creatorcontrib><creatorcontrib>Eckert, Bernd</creatorcontrib><creatorcontrib>Niesen, Wolf-Dirk</creatorcontrib><creatorcontrib>Weiller, Cornelius</creatorcontrib><creatorcontrib>Sliwka, Ulrich</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>American journal of neuroradiology : AJNR</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Rosenkranz, Michael</au><au>Eckert, Bernd</au><au>Niesen, Wolf-Dirk</au><au>Weiller, Cornelius</au><au>Sliwka, Ulrich</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Horner Syndrome Related to Ipsilateral Carotid Wall Hematoma after Stent Placement for the Treatment of Carotid Stenoses</atitle><jtitle>American journal of neuroradiology : AJNR</jtitle><addtitle>AJNR Am J Neuroradiol</addtitle><date>2003-09-01</date><risdate>2003</risdate><volume>24</volume><issue>8</issue><spage>1508</spage><epage>1511</epage><pages>1508-1511</pages><issn>0195-6108</issn><eissn>1936-959X</eissn><coden>AAJNDL</coden><abstract>We prospectively studied the incidence and natural history of Horner syndrome following stent-supported percutaneous angioplasty of the carotid artery (SPAC). We assessed the hypothesis that postinterventional Horner syndrome is related to ipsilateral carotid wall hematoma.
We performed duplex sonography of the carotid arteries and clinical examination in 28 consecutive patients before and 4 hours +/- 2, 24 hours +/- 2, and 7 days +/- 1 after SPAC.
Within 24 hours +/- 2 after SPAC, 11 of the 28 patients developed ipsilateral Horner syndrome. Ten of these 11 patients had a postinterventional sonographic appearance of a carotid wall hematoma, whereas only two of the 17 patients without Horner syndrome had this finding (P <.001). In all patients, both Horner syndrome and carotid wall hematoma had resolved 7 days +/- 1 after SPAC.
Horner syndrome appears to be a common yet transient event after SPAC. Although postinterventional Horner syndrome is significantly related to ipsilateral carotid wall hematoma, causality of the procedure-related formation of a carotid wall hematoma and oculosympathetic disturbance remains unproven.</abstract><cop>Oak Brook, IL</cop><pub>Am Soc Neuroradiology</pub><pmid>13679260</pmid><tpages>4</tpages></addata></record> |
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subjects | Adult Aged Aged, 80 and over Angioplasty, Balloon - adverse effects Biological and medical sciences Carotid Artery Injuries - diagnostic imaging Carotid Artery Injuries - etiology Carotid Artery, Internal - diagnostic imaging Carotid Stenosis - diagnostic imaging Carotid Stenosis - therapy Female Follow-Up Studies Functional Laterality - physiology Hematoma - diagnostic imaging Hematoma - etiology Horner Syndrome - diagnostic imaging Horner Syndrome - etiology Humans Interventional Male Medical sciences Middle Aged Muscle, Smooth, Vascular - diagnostic imaging Muscle, Smooth, Vascular - injuries Neurology Prospective Studies Sensitivity and Specificity Stents - adverse effects Ultrasonography, Doppler, Duplex Vascular diseases and vascular malformations of the nervous system |
title | Horner Syndrome Related to Ipsilateral Carotid Wall Hematoma after Stent Placement for the Treatment of Carotid Stenoses |
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