Prolonged Hemodynamic Depression After Bilateral Carotid
Angioplasty and Stent Insertion

J Korean Neurol Assoc > Volume 28(4); 2010 > Article

Journal of the Korean Neurological Association 2010;28(4): 295-297.

양쪽 속목동맥 혈관성형술 및 스텐트삽입술 후 발생한 장기간 저하된 혈류역학

임형균, 하승현 박진석 이영준 a 김현영

한양대학교 의과대학 신경과학교실, 한양대학교 의과대학 영상의학교실 a

Prolonged Hemodynamic Depression After Bilateral Carotid Angioplasty and Stent Insertion

Hyung Kyun Im

Departments of Neurology and Radiology a , Hanyang University College of Medicine, Seoul, Korea

Abstract

Hemodynamic depression (hypotension and bradycardia) can occur during or after carotid angioplasty and stenting (CAS) due to stretching of the baroreceptors in the carotid sinus. The predisposing factors of hemodynamic depression have not been reported previously. In general, hemodynamic depression after CAS may continue for up to 3?5?days, but disappears within 7?days. We report herein a 65-year-old man with severe hemodynamic depression after sequential CAS, and discuss the possible causes from an anatomical point of view. Key Words: Hemodynamic depression, Carotid angioplasty and stenting, Carotid sinus