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KMID : 0857020100250020177
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Kosin Medical Journal
2010 Volume.25 No. 2 p.177 ~ p.182
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Fatal Intracranial Hemorrhage after Carotid Angioplasty and Stenting
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Kim Kwang-Soo
Jung Gyoo-Sik
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Abstract
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Cerebral hyperperfusion with intracranial hemorrhage is a rare complication of carotid angioplasty and stent placement. A 71-year-old man presenting with dysarthria underwent carotid angioplasty and stent placement for 85% and 90% stenosis of the right internal carotid artery. At 14 hours after carotid stenting the patient suddenly had generalized tonic-clonic seizures and deteriorated. Brain CT revealed hematomas in the right frontal lobe and right basal ganglia and diffuse subarachnoid hemorrhage with acute hydrocephalus. He subsequently died 11 hours later. We report the occurrence of fatal intracranial hemorrhage in a patient undergoing carotid angioplasty and stent placement.
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KEYWORD
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Carotidstenosis, Hyperperfusion, Intracranial hemorrhage, Stenting
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