Chinese Journal of Surgery 2007;45(4):230-232

Clinical study about the management of hemodynamic instability during carotid stenting angioplasty.

Bao-Min LI 1 ; Sheng LI ; Jun WANG ; Xiang-Yu CAO ; Bai-Nan XU ; Ding-Biao ZHOU

Affiliations

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Country

China

Language

Chinese

Abstract

OBJECTIVETo evaluate the validity of different treatment for minimizing the complications caused by hemodynamic changes during stenting angioplasty of carotid stenoses.

METHODSThere was no special measure for 80 of 205 cases during angioplasty. General blood pressure was controlled strictly to normal lower limit for avoiding intracranial reperfusion bleeding and angioplasty was done after elevated heart rate to 80 per minute in the remaining 125 cases.

RESULTSThere were 8.8% complications in 80 cases and no obviously complication occurred in 125 cases controlling hemodynamic changes. Follow-up period from 1 months to 5 years, there was no marked restenosis.

CONCLUSIONRegulating hemodynamic changes should be emphasized for reducing complications and improving the effect of carotid artery stenting.