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Angiology
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Ipsilateral Intracerebral Hemorrhage Following Carotid Stent-Assisted Angioplasty: A Manifestation of Hyperperfusion Syndrome

A Case Report

Eugenia Nikolsky, MD, PhD

Division of Invasive Cardiology, Rambam Medical Center and the Technion-Israel Institute of Technology, Haifa, Israel.

Chandrashekhar V. Patil, MD

Division of Invasive Cardiology, Rambam Medical Center and the Technion-Israel Institute of Technology, Haifa, Israel.

Rafael Beyar, MD, DSc

Division of Invasive Cardiology, Rambam Medical Center and the Technion-Israel Institute of Technology, Haifa, Israel.

A case of hyperperfusion syndrome manifested as intracerebral hemorrhage following carotid stent-assisted angioplasty while using intravenous abciximab is described. Review of literature regarding hyperperfusion syndrome in patients undergoing carotid artery revascularization is presented. Possible mechanisms of hyperperfusion and the role of arterial hypertension, anti coagulation, and antiplatelet treatment in the genesis of hyperperfusion syndrome are discussed. Widening use of percutaneous carotid revascularization necessitates physicians' awareness of early recognition of this complication.

Angiology, Vol. 53, No. 2, 217-223 (2002)
DOI: 10.1177/000331970205300214
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