机构:[1]Department of Neurosurgery, Capital Medical University, Xuan Wu Hospital. Beijing, China神经外科首都医科大学宣武医院[2]Department of Raidological Sciences, University of California, Los Angeles, California, USA
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.
语种:
外文
被引次数:
WOS:
PubmedID:
中科院(CAS)分区:
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
JCR分区:
出版当年[2007]版:
Q4CLINICAL NEUROLOGYQ4RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
最新[2023]版:
Q3CLINICAL NEUROLOGYQ3RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGINGQ4CLINICAL NEUROLOGY
第一作者机构:[1]Department of Neurosurgery, Capital Medical University, Xuan Wu Hospital. Beijing, China
通讯作者:
通讯机构:[*1]Department of Neurosurgery, Capital Medical University, Xuan Wu Hospital, 45 Changchun Street, Beijing 100053, PR China
推荐引用方式(GB/T 7714):
Y. XU,Y.WANGA,L. FENG,et al.Treatment and Outcome of Intracranial Hemorrhage after Carotid Artery Stenting A Ten Year Single Center Experience[J].INTERVENTIONAL NEURORADIOLOGY.2009,15(3):316-324.doi:10.1177/159101990901500309.
APA:
Y. XU,Y.WANGA,L. FENG,Z. MIAO&F. LING.(2009).Treatment and Outcome of Intracranial Hemorrhage after Carotid Artery Stenting A Ten Year Single Center Experience.INTERVENTIONAL NEURORADIOLOGY,15,(3)
MLA:
Y. XU,et al."Treatment and Outcome of Intracranial Hemorrhage after Carotid Artery Stenting A Ten Year Single Center Experience".INTERVENTIONAL NEURORADIOLOGY 15..3(2009):316-324