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Ann Fr Anesth Reanim · Dec 2009
Case Reports[Carotid dissection during angioplasty for vasospasm induced by subarachnoid haemorrhage. The use of multimodal cerebral monitoring].
- J Bordes, H Boret, B Prunet, A Montcriol, and P Goutorbe.
- Département d'anesthésie-réanimation, HIA Sainte-Anne, 2 boulevard Sainte-Anne, Toulon, France. bordes.julien@neuf.fr
- Ann Fr Anesth Reanim. 2009 Dec 1; 28 (12): 1023-8.
AbstractWe report the case of a 54-year-old woman presenting subarachnoid haemorrhage. She experienced multiple vasospasms and treatment included triple-H (hypervolaemia, hypertension, and haemodilution) and endovascular therapies. Right internal carotid dissection complicated angioplasty of the right middle cerebral artery. Combined brain tissue partial pressure of oxygen monitoring and transcranial echo-Doppler could have facilitated early diagnosis. Despite successful revascularization of right internal carotid by stenting, this complication caused acute stroke with refractory intracranial hypertension.
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