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Titolo:
Transient contrast encephalopathy after carotid artery stenting
Autore:
Dangas, G; Monsein, LH; Laureno, R; Peterson, MA; Laird, JR; Satler, LF; Mehran, R; Leon, MB;
Indirizzi:
Lenox Hill Heart & Vasc Inst, Cardiovasc Res Fdn, New York, NY 10022 USA Lenox Hill Heart & Vasc Inst New York NY USA 10022 New York, NY 10022 USA Washington Hosp Ctr, Dept Neuroradiol, Washington, DC 20010 USA WashingtonHosp Ctr Washington DC USA 20010 iol, Washington, DC 20010 USA Washington Hosp Ctr, Dept Neurol, Washington, DC 20010 USA Washington HospCtr Washington DC USA 20010 rol, Washington, DC 20010 USA Washington Hosp Ctr, Div Cardiol, Washington, DC 20010 USA Washington HospCtr Washington DC USA 20010 iol, Washington, DC 20010 USA
Titolo Testata:
JOURNAL OF ENDOVASCULAR THERAPY
fascicolo: 2, volume: 8, anno: 2001,
pagine: 111 - 113
SICI:
1526-6028(200104)8:2<111:TCEACA>2.0.ZU;2-N
Fonte:
ISI
Lingua:
ENG
Soggetto:
CORTICAL BLINDNESS; ANGIOGRAPHY;
Keywords:
neurotoxicity; ioxaglate; hemiparesis; cortical edema; blood-brain barrier;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
7
Recensione:
Indirizzi per estratti:
Indirizzo: Dangas, G Lenox Hill Heart & Vasc Inst, Cardiovasc Res Fdn, 55 E 59th St,6th Floor, New York, NY 10022 USA Lenox Hill Heart & Vasc Inst 55 E 59th St,6th Floor New York NY USA 10022
Citazione:
G. Dangas et al., "Transient contrast encephalopathy after carotid artery stenting", J ENDOVAS T, 8(2), 2001, pp. 111-113

Abstract

Purpose: To report an unusual case of transient contrast encephalopathy arising after carotid artery stenting. Case Report: An 82-year-old right-handed man with a recent history of transient ischemic events was admitted to the hospital for evaluation of carotid artery disease. During cerebral angiography, which identified a 90% rightinternal carotid artery stenosis, the patient received 25 mt of an ionic, low-osmolar contrast agent (ioxaglate) in each carotid artery. The following day he underwent successful carotid stenting, during which 180 mt of ioxaglate were used. He developed rapidly worsening confusion and left hemiparesis on the table. Noncontrast computed tomography showed marked cortical enhancement and edema of the right cerebral hemisphere in the distribution ofthe right anterior and middle cerebral arteries. The patient improved rapidly and by day 2 was completely recovered; magnetic resonance imaging documented no cortical edema and normal sulci. One month after the procedure, hewas well, with patent carotid arteries. Conclusions: Transient neurotoxicity after carotid interventions must be differentiated from massive cerebral infarction and hyperperfusion syndrome,but the prognosis is excellent. However, subsequent contrast studies in a patient with this complication should be undertaken with extreme caution.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 23/01/20 alle ore 03:49:49