Document Detail

Subarachnoid hemorrhage after carotid artery stenting.
MedLine Citation:
PMID:  17466804     Owner:  NLM     Status:  MEDLINE    
We describe subarachnoid hemorrhage (SAH) in a 66-year-old man, who underwent technically successful carotid stenting for a string-stenosis of the right internal carotid artery (ICA) in a presence of contralateral ICA occlusion with recurrent right hemisphere transient ischemic attacks. At 2 hours, the patient developed headache and vomiting, but no focal neurological deficits. Performed transcranial color-coded Doppler (TCCD) showed over 2.8-fold increase of the peak systolic velocity in the right middle cerebral artery. The emergent CT of the brain showed SAH with the right hemisphere edema. Patient was treated with Nimodipine in continuous infusion, diuretics i.v. and additional hypotensive therapy depending on blood pressure values. Clopidogrel was stopped for 5 days. Over next 4 weeks, a gradual cerebral velocities decrease was observed on TCCD, which was related to clinical and CT resolution.
Tadeusz Przewlocki; Piotr Pieniazek; Anna Kablak-Ziembicka; Rafal Motyl; Zbigniew Moczulski; Wieslawa Tracz
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of vascular surgery     Volume:  45     ISSN:  0741-5214     ISO Abbreviation:  J. Vasc. Surg.     Publication Date:  2007 May 
Date Detail:
Created Date:  2007-04-30     Completed Date:  2007-05-24     Revised Date:  2012-10-03    
Medline Journal Info:
Nlm Unique ID:  8407742     Medline TA:  J Vasc Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1072-5     Citation Subset:  IM    
Department of Cardiac and Vascular Diseases, Institute of Cardiology, Jagiellonian University, Krakow, Poland. <>
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MeSH Terms
Carotid Artery, Internal* / radiography
Carotid Stenosis / complications,  therapy*
Headache / etiology
Infusions, Intravenous
Ischemic Attack, Transient / etiology
Nimodipine / administration & dosage
Reperfusion Injury / complications,  etiology*
Subarachnoid Hemorrhage / etiology*
Ultrasonography, Doppler, Transcranial
Vasodilator Agents / administration & dosage
Reg. No./Substance:
0/Vasodilator Agents; 66085-59-4/Nimodipine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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