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Treatment and Outcome of Intracranial Hemorrhage after Carotid Artery Stenting A Ten Year Single Center Experience

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机构: [1]Department of Neurosurgery, Capital Medical University, Xuan Wu Hospital. Beijing, China [2]Department of Raidological Sciences, University of California, Los Angeles, California, USA
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关键词: carotid artery stent cerebral hyperperfusion syndrome intracranial hemorrhage outcome

摘要:
Intracranial hemorrhage following carotid artery venting (CAS) is a rare but potentially devastating complication. The present study reviewed intracranial hemorrhage cases from patients undergoing CAS in ten years to find the methods to rescue patients from this fatal complication. Patients with postoperative intracranial hemorrhage following CAS were retrospectively selected, and clinical features, treatments and Outcomes were studied. Ten patients with intracranial hemorrhage were identified. The mean onset time of hemorrhage was 6.1 +/- 7.1 h. Intracerebral hemorrhage occurred in eight patients and SAH in two patients. The patients were treated by stopping anti-platelet and anticoagulant for at least three days, and surgical drainage of the hematoma/ventricle drainage or conservative treatment. Six patients survived, two had left moderate paralysis, four had a good recovery at four week follow-up, and four patients died. No patients underwent thrombosis in stent after withdrawing of antiplatelet and anticoagulant. Intracranial hemorrhage after CAS occurs usually in a few hours and leads to catastrophic results. Once patients have intracranial hemorrhage, good neurocritical care may help to save them. Stopping antiplatelet and anticoagulant for at least three days may avoid thrombosis in the stenting site.

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出版当年[2008]版:
大类 | 4 区 医学
小类 | 4 区 临床神经病学 4 区 核医学
最新[2023]版:
大类 | 4 区 医学
小类 | 4 区 临床神经病学 4 区 核医学
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出版当年[2007]版:
Q4 CLINICAL NEUROLOGY Q4 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
最新[2023]版:
Q3 CLINICAL NEUROLOGY Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Q4 CLINICAL NEUROLOGY

影响因子: 最新[2023版] 最新五年平均 出版当年[2007版] 出版当年五年平均 出版前一年[2006版] 出版后一年[2008版]

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第一作者机构: [1]Department of Neurosurgery, Capital Medical University, Xuan Wu Hospital. Beijing, China
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通讯机构: [*1]Department of Neurosurgery, Capital Medical University, Xuan Wu Hospital, 45 Changchun Street, Beijing 100053, PR China
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