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Journal of Medical Case Reports

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Open Access 01-12-2022 | Hypotension | Case report

Treatment via oral midodrine in a patient with prolonged hypotension following carotid artery stenting: a case report

Authors: Yaser Jenab, Kaveh Hosseini, Seyed-Mohammad Abtahi-Eivary

Published in: Journal of Medical Case Reports | Issue 1/2022

Abstract

Background

Hypotension and bradycardia are common hemodynamic complications following carotid artery stenting in patients with carotid artery stenosis. Intravenous fluid resuscitation and inotropes such as dopamine are conventional treatments for post-carotid artery stenting hypotension. However, in case of resistant hypotension, there is no clear treatment method. In this report, while intravenous fluid and inotropes did not resolve the patient’s hypotension, oral midodrine treated post-carotid artery stenting hypotension.

Case presentation

In this report, we present an 82-year-old Caucasian man complaining of a single episode of unilateral visual loss. The patient had left internal carotid artery stenosis and underwent carotid artery stenting. After the procedure, he developed prolonged post-carotid artery stenting hypotension, which was resistant to intravenous fluids and inotropes but immediately showed a promising response to oral midodrine.

Conclusion

Oral midodrine can be considered in treatment of post-carotid artery stenting hemodynamic complications.

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Title: Treatment via oral midodrine in a patient with prolonged hypotension following carotid artery stenting: a case report
Authors: Yaser Jenab
Kaveh Hosseini
Seyed-Mohammad Abtahi-Eivary
Publication date: 01-12-2022
Publisher: BioMed Central
Keywords: Hypotension
Carotid Endarterectomy
Hypotension
Published in: Journal of Medical Case Reports / Issue 1/2022
Electronic ISSN: 1752-1947
DOI: https://doi.org/10.1186/s13256-022-03270-5

At a glance: The STEP trials

Springer Medicine

Treatment via oral midodrine in a patient with prolonged hypotension following carotid artery stenting: a case report

Abstract

Background

Case presentation

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Background

Case presentation

Conclusion

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