Subarachnoid hemorrhage after carotid artery stenting

Tadeusz Przewlocki, Piotr Pieniazek, Anna Kablak-Ziembicka, Rafal Motyl, Zbigniew Moczulski, Wieslawa Tracz
2007 Journal of Vascular Surgery  
We describe subarachnoid hemorrhage (SAH) in a 66-year-old man, who underwent technically successful carotid stenting for a string-stenosis of the right internal carotid artery (ICA) in a presence of contralateral ICA occlusion with recurrent right hemisphere transient ischemic attacks. At 2 hours, the patient developed headache and vomiting, but no focal neurological deficits. Performed transcranial color-coded Doppler (TCCD) showed over 2.8-fold increase of the peak systolic velocity in the
more » ... ght middle cerebral artery. The emergent CT of the brain showed SAH with the right hemisphere edema. Patient was treated with Nimodipine in continuous infusion, diuretics i.v. and additional hypotensive therapy depending on blood pressure values. Clopidogrel was stopped for 5 days. Over next 4 weeks, a gradual cerebral velocities decrease was observed on TCCD, which was related to clinical and CT resolution. ( J Vasc Surg 2007;45: 1072-5.)
doi:10.1016/j.jvs.2007.01.041 pmid:17466804 fatcat:joxo3pg3obctbkyq4noc6gimtu