By Thomas Forbes
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Additional info for Angioplasty, Various Techniques and Challenges in Treatment of Congenital and Acquired Vascular Stenoses
6%) required admission to the intensive care unit for hemodynamic instability. Curiously, the only factors related to increased morbimortality were hyperlipidemia and current or previous smoking. 2 Angioplasty in intracranial arteries As is to be expected, fewer studies have addressed CHS in relation to intracranial angioplasty because this procedure is newer than angioplasty in extracranial arteries. In this section, we will discuss the most interesting series and cases of patients treated with this technique.
Regarding preventive measures during and after the procedure, we will focus on detecting cerebral Cerebral Hyperperfusion Syndrome After Angioplasty 27 hyperperfusion and thus on the importance of strict, prolonged BP control and appropriate antithrombotic management. As we discussed in the Diagnosis section, various options are available for assessing CVR. Probably the most widely available option is TCD, which has many advantages and enables us to measure cerebral flow at rest and under certain stimuli (breath-holding, inhalation of CO2, intravenous acetazolamide administration).
J Neurosurg. 2002 Dec; 97 (6): 1294301. ; Barshes, NR & Huynh TT . Factors associated with hypotension and bradycardia after carotid angioplasty and stenting. J Vasc Surg 2007. ; Steinberg, GK & Marks, MP: Hyperperfusion syndrome with hemorrhage after angioplasty for middle cerebral artery stenoses. AJNR Am J Neuroradiol 22:1597–1561, 2001. Lythgoe, DJ. Ostergaard, L & William, SC et al. Quantitativeperfusion imaging in carotid artery stenosis using dynamic susceptibility contrast-enhanced magnetic resonance imaging.
Angioplasty, Various Techniques and Challenges in Treatment of Congenital and Acquired Vascular Stenoses by Thomas Forbes