Skip to main content
SpringerLink
Log in

Fatal Intraventricular Hemorrhage After the Extracranial Carotid Artery Angioplasty and Stent Placement

  • Case Report
  • Published:
CardioVascular and Interventional Radiology Aims and scope Submit manuscript

Abstract

We report on a 72-year-old female with an unusual intracranial bleeding complication after an extracranial carotid artery stenting procedure performed for a tight left ICA stenosis associated with contralateral carotid occlusion. Two hours after the procedure, the initial signs of intracranial bleeding appeared that led to the patient’s demise 5 days later. A brain CT showed and autopsy proved massive intraventricular bleeding. To our knowledge, our case is only the second report of isolated reperfusion intraventricular hemorrhage post-CAS.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Figure 1
Figure 2
Figure 3
Figure 4
Figure 5

Similar content being viewed by others

References

  1. JE Dalman IC Beenakkers FL Moll et al. (1999) ArticleTitleTranscranial Doppler monitoring during carotid endarterectomy helps to identify patients at risk of postoperative hyperperfusion Eur J Endovasc Surg 18 222–227 Occurrence Handle1:STN:280:DyaK1MvhtVKgsA%3D%3D Occurrence Handle10.1053/ejvs.1999.0846

    Article  CAS  Google Scholar 

  2. ID Wilkinson PD Griffiths N Hoggard et al. (2003) ArticleTitleShort-term changes in cerebral microhemodynamics after carotid stenting Am J Neuroradiol 24 1501–1507 Occurrence Handle13679259

    PubMed  Google Scholar 

  3. KR Mandalam VR Rao KS Neelakandhan et al. (1992) ArticleTitleHyperperfusion syndrome following balloon angioplasty and bypass surgery of aortic arch vessels: a report of 3 cases Cardiovasc Intervent Radiol 15 IssueID2 108–112 Occurrence Handle1:STN:280:DyaK383ktVGrtw%3D%3D Occurrence Handle10.1007/BF02734103 Occurrence Handle1533343

    Article  CAS  PubMed  Google Scholar 

  4. R Kachel G Endert S Basche et al. (1987) ArticleTitlePercutaneous transluminal angioplasty (dilatation) of carotid, vertebral, and innominate artery stenoses Cardiovasc Intervent Radiol 10 IssueID3 142–146 Occurrence Handle1:STN:280:DyaL2s3ntlemsw%3D%3D Occurrence Handle10.1007/BF02577989 Occurrence Handle2955897

    Article  CAS  PubMed  Google Scholar 

  5. TM Sundt FW Sharbrough DG Piepgras et al. (1981) ArticleTitleCorrelation of cerebral blood flow and electroencephalographic changes during carotid endarterectomy: with results of surgery and hemodynamics of cerebral ischemia Mayo Clin Proc 56 533–543 Occurrence Handle7266064

    PubMed  Google Scholar 

  6. RF Spetzler CB Wilson P Weinstein (1978) ArticleTitleNormal perfusion pressure breakthrough theory Clin Neurosurg 25 651–672 Occurrence Handle1:STN:280:DyaE1M%2FksVCjsQ%3D%3D Occurrence Handle710017

    CAS  PubMed  Google Scholar 

  7. W Morrish S Grahovac A Douen et al. (2000) ArticleTitleIntracranial hemorrhage after stenting and angioplasty of extracranial carotid stenosis Am J Neuroradiol 21 1911–1916 Occurrence Handle1:STN:280:DC%2BD3M7ovVCisw%3D%3D Occurrence Handle11110546

    CAS  PubMed  Google Scholar 

  8. SB Coutts MD Hill WY Hu et al. (2003) ArticleTitleHyperperfusion syndrome: toward a stricter definition Neurosurgery 53 1053–1060 Occurrence Handle10.1227/01.NEU.0000088738.80838.74 Occurrence Handle14580271

    Article  PubMed  Google Scholar 

  9. BG Schoser C Heesen B Eckert et al. (1997) ArticleTitleCerebral hyperperfusion injury after percutaneous transluminal angioplasty of extracranial arteries J Neurol 244 IssueID2 101–104 Occurrence Handle1:STN:280:DyaK2s7osV2jsQ%3D%3D Occurrence Handle10.1007/s004150050057 Occurrence Handle9120491

    Article  CAS  PubMed  Google Scholar 

  10. PM Meyers RT Higashida CC Phatouros et al. (2000) ArticleTitleCerebral hyperperfusion syndrome after percutaneous transluminal stenting of the craniocervical arteries Neurosurgery 47 IssueID2 335–343 Occurrence Handle1:STN:280:DC%2BD3M%2FjsFWisw%3D%3D Occurrence Handle10.1097/00006123-200008000-00013 Occurrence Handle10942006

    Article  CAS  PubMed  Google Scholar 

  11. DJ McCabe MM Brown A Clifton (1999) ArticleTitleFatal cerebral reperfusion hemorrhage after carotid stenting Stroke 30 IssueID11 2483–2486 Occurrence Handle1:STN:280:DC%2BD3c%2FhvVeksQ%3D%3D Occurrence Handle10.1161/01.STR.30.11.2483 Occurrence Handle10548688

    Article  CAS  PubMed  Google Scholar 

  12. YM Chuang HM Wu (2001) ArticleTitleEarly recognition of cerebral hyperperfusion syndrome after carotid stenting—a case report Kaohsiung J Med Sci 17 IssueID9 489–494 Occurrence Handle1:STN:280:DC%2BD387htFWrsg%3D%3D Occurrence Handle11842653

    CAS  PubMed  Google Scholar 

  13. T Mori M Fukuoka K Kazita et al. (1999) ArticleTitleIntraventricular hemorrhage after carotid stenting J Endovasc Surg 6 IssueID4 337–341 Occurrence Handle1:STN:280:DC%2BD3czkvFahtg%3D%3D Occurrence Handle10.1583/1074-6218(1999)006<0337:IHACS>2.0.CO;2 Occurrence Handle10893135

    Article  CAS  PubMed  Google Scholar 

  14. M Berker A Ulus S Palaoglu et al. (2003) ArticleTitleIntracranial haemorrhage probably due to an angiographically occult AVM after carotid stenting A case report. Intervent Neuroradiol 9 315–320 Occurrence Handle1:STN:280:DC%2BC3cnjvFKqug%3D%3D

    CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Neurology, Charles University, Faculty of Medicine and University Hospital, Hradec Kralove, 500 05, Czech Republic

    Dagmar Krajickova

  2. Department of Radiology, Charles University, Faculty of Medicine and University Hospital, Hradec Kralove , 500 05, Czech Republic

    Antonin Krajina & Jan Raupach

  3. Department of Pathology, Charles University, Faculty of Medicine and University Hospital, Hradec Kralove, 500 05, Czech Republic

    Marketa Nova

Authors
  1. Dagmar Krajickova
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Antonin Krajina
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Marketa Nova
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Jan Raupach
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Dagmar Krajickova.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Krajickova, D., Krajina, A., Nova, M. et al. Fatal Intraventricular Hemorrhage After the Extracranial Carotid Artery Angioplasty and Stent Placement. Cardiovasc Intervent Radiol 28, 502–505 (2005). https://doi.org/10.1007/s00270-004-0155-9

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00270-004-0155-9

Keywords

Search

Navigation