• Medicine · Dec 2018

    Case Reports

    Intracranial hemorrhage after carotid artery stenting in both anterior and posterior circulation: A case report.

    • Pian Wang, Yan Wang, and Qingbin Zhang.
    • Department of Neurology, the Fifth People's Hospital of Chengdu, Chengdu, China.
    • Medicine (Baltimore). 2018 Dec 1; 97 (51): e13800.

    RationalIntracranial hemorrhage (ICH) after carotid artery stenting (CAS) is a rare but fatal complication, and it primarily occurs in the corresponding vascular distribution area. Herein, a case of ICH after CAS in both anterior and posterior circulation has been described.Patient ConcernsA 62-year-old female was referred to the hospital for left-side limb weakness and right nasal hemianopia for 1 month.DiagnosisCerebral MRI following hospitalization revealed cerebral infarction in the right posterior cortical watershed area. Computed tomography angiography (CTA) showed severe stenosis in the right internal carotid artery.InterventionsWe performed CAS to treat the right internal carotid artery stenosis without any complications.OutcomesAfter CAS, cerebral hemorrhage occurred under strict control of blood pressure in both anterior and posterior circulation. After 69 days of treatment, the patient was discharged from the hospital.LessonsHypertension is still one of the causes of ICH after CAS. The control of perioperative BP in patients with severe carotid stenosis is yet a major concern.

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