Prolonged hypotension following elective stenting of an internal carotid artery stenosis

Hugh Winters, Craig Anderson, Geoffrey Parker

    Research output: Contribution to journalArticle

    Abstract

    We report a case of a 72-year-old man who had undergone elective stenting of an asymptomatic high grade stenosis of the proximal left internal carotid artery. The indication was progression of the stenosis over a 3 year period despite receiving maximal medical therapy, and patient preference for stenting over endarterectomy. He became profoundly hypotensive in the immediate post-stent period and required immediate and prolonged vasopressor support over the next week. The etiological hypothesis is baroreceptor hyperactivity related to procedure induced unilateral stretching of the carotid body.

    Original languageEnglish
    JournalBMJ Case Reports
    DOIs
    Publication statusPublished - 2014

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