Document Detail

Thalamic hemorrhage following carotid angioplasty and stenting.
MedLine Citation:
PMID:  15098142     Owner:  NLM     Status:  MEDLINE    
Carotid angioplasty and stenting (CAS) has emerged as an alternative treatment of carotid stenosis for patients poorly suited for endarterectomy. Intracerebral hemorrhage following carotid revascularization is rare and thought to be related to hyperperfusion injury in most cases. Early experience suggests an increased incidence of hemorrhage following CAS as compared to endarterectomy. We describe a patient who suffered a thalamic hemorrhage following CAS. Because this hemorrhage occurred in a vascular territory unlikely to have been supplied by the treated artery, this case suggests that the mechanism of intracerebral hemorrhage following CAS may in some cases be different from the hyperperfusion hemorrhage classically described following endarterectomy.
Jonathan A Friedman; David F Kallmes; Eelco F M Wijdicks
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2004-04-20
Journal Detail:
Title:  Neuroradiology     Volume:  46     ISSN:  0028-3940     ISO Abbreviation:  Neuroradiology     Publication Date:  2004 May 
Date Detail:
Created Date:  2004-05-13     Completed Date:  2004-09-28     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  1302751     Medline TA:  Neuroradiology     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  399-403     Citation Subset:  IM    
Copyright Information:
Copyright 2004 Springer-Verlag
Section of Neurosurgery, Dartmouth Hitchcock Medical Center, One Medical Center Drive, Lebanon, NH 03756, USA.
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MeSH Terms
Aged, 80 and over
Angioplasty / adverse effects*
Carotid Arteries / surgery*
Carotid Stenosis / surgery
Intracranial Hemorrhages / etiology*
Thalamic Diseases / etiology*

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