Journal article
The Prevalence and Factors Contributing to Hemodynamic Depression in Patients Undergoing Carotid Angioplasty and Stenting
Journal of vascular and interventional neurology, Vol.8(4), pp.5-10
10/2015
PMCID: PMC4634774
PMID: 26600923
Abstract
Hemodynamic depression, including bradycardia and hypotension, is among the most common complications of carotid angioplasty and stenting.
A prospective, cross-sectional study was conducted at Shiraz University of Medical Sciences in southern Iran from 2011 to 2013. Consecutive patients undergoing carotid angioplasty and stenting were included. Demographic data, atherosclerotic risk factors, preprocedural blood pressure, the site of stenosis, the degree of stenosis, and data regarding technical factors were recorded. Hemodynamic depression was defined as a systolic blood pressure less than 90 mmHg and/or heart rate less than 50 beat/min.
About 170 patients (67% male, mean age: 71+9.8, 55.9% right side, 82.9% symptomatic) were recruited. Mean degree of stenosis was 79.4% in operated side and 40.7% in nonoperated side. Predilation, postdilation, or both were conducted in 18(10.5%), 141(83%), 11(6.5%) patients respectively. Thirteen (7.6%), 41(24%), and 12(7%) of patients developed postprocedural bradycardia, hypotension or both, respectively. Two patients had a stroke after CAS and periprocedural mortality was 0%. Hemodynamic depression after CAS had a significant association with preprocedure blood pressure and the use of an open cell stent design, but not with atherosclerotic risk factors, site and/or degree of stenosis, predilation, or postdilation. Hemodynamic depression significantly increased hospital stay too.
Preprocedural hydration and close-cell stents may decrease the risk of poststenting hemodynamic depression.
Details
- Title: Subtitle
- The Prevalence and Factors Contributing to Hemodynamic Depression in Patients Undergoing Carotid Angioplasty and Stenting
- Creators
- Afshin Borhani HaghighiSafoora Kokabi - Shiraz University of Medical SciencesSamaneh Yousefi - Fasa University of Medical SciencesMehrdad Emami - Shiraz University of Medical SciencesAbdolhamid ShariatAlireza NiksereshtNahid AshjazadehSadegh IzadiPeyman PetramfarMaryam PoursadeghAbbas Rahimi JaberiSajjad Emami - Jahrom University of Medical SciencesHamid Agheli - Neurologist, Shahidzadeh Hospital, Behbahan, IranReza Nemati - Bushehr University of Medical SciencesEhsan Yaghoubi - Yasuj University of Medical SciencesKaveh Kashani - Fasa University of Medical SciencesMajid Panahandeh - Neurologist, Ordibehesht Hospital, Shiraz, IranSeyed Moslem Heidari-Khormizi - Rafsanjan University of Medical SciencesSalvador Cruz-Flores - Departments of Neurology, Texas Tech University, El Paso, TX, USARandal Edgell - Departments of Neurology and Psychiatry, Saint Louis University, Saint Louis, MO, USA
- Resource Type
- Journal article
- Publication Details
- Journal of vascular and interventional neurology, Vol.8(4), pp.5-10
- PMID
- 26600923
- PMCID
- PMC4634774
- NLM abbreviation
- J Vasc Interv Neurol
- ISSN
- 1941-5893
- eISSN
- 1944-141X
- Language
- English
- Date published
- 10/2015
- Academic Unit
- Neurology
- Record Identifier
- 9985014706202771
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