Skip to main content
Top
Published in: Neuroradiology 5/2004

01-05-2004 | Interventional Neuroradiology

Thalamic hemorrhage following carotid angioplasty and stenting

Authors: Jonathan A. Friedman, David F. Kallmes, Eelco F. M. Wijdicks

Published in: Neuroradiology | Issue 5/2004

Login to get access

Abstract

Carotid angioplasty and stenting (CAS) has emerged as an alternative treatment of carotid stenosis for patients poorly suited for endarterectomy. Intracerebral hemorrhage following carotid revascularization is rare and thought to be related to hyperperfusion injury in most cases. Early experience suggests an increased incidence of hemorrhage following CAS as compared to endarterectomy. We describe a patient who suffered a thalamic hemorrhage following CAS. Because this hemorrhage occurred in a vascular territory unlikely to have been supplied by the treated artery, this case suggests that the mechanism of intracerebral hemorrhage following CAS may in some cases be different from the hyperperfusion hemorrhage classically described following endarterectomy.
Literature
1.
go back to reference Ferguson GG, Eliasziw M, Barr HW, et al (1999) The North American Symptomatic Carotid Endarterectomy Trial: Surgical results in 1415 patients. Stroke 30:1751–1758PubMed Ferguson GG, Eliasziw M, Barr HW, et al (1999) The North American Symptomatic Carotid Endarterectomy Trial: Surgical results in 1415 patients. Stroke 30:1751–1758PubMed
2.
go back to reference Henderson RD, Phan TG, Piepgras DG, Wijdicks EF (2001) Mechanisms of intracerebral hemorrhage after carotid endarterectomy. J Neurosurg 95:964–969PubMed Henderson RD, Phan TG, Piepgras DG, Wijdicks EF (2001) Mechanisms of intracerebral hemorrhage after carotid endarterectomy. J Neurosurg 95:964–969PubMed
3.
go back to reference Piepgras DG, Morgan MK, Sundt TM Jr, Yanagihara T, Mussman LM (1988) Intracerebral hemorrhage after carotid endarterectomy. J Neurosurg 68:532–536PubMed Piepgras DG, Morgan MK, Sundt TM Jr, Yanagihara T, Mussman LM (1988) Intracerebral hemorrhage after carotid endarterectomy. J Neurosurg 68:532–536PubMed
4.
go back to reference Solomon RA, Loftus CM, Quest DO, Correll JW (1986) Incidence and etiology of intracerebral hemorrhage following carotid endarterectomy. J Neurosurg 64:29–34PubMed Solomon RA, Loftus CM, Quest DO, Correll JW (1986) Incidence and etiology of intracerebral hemorrhage following carotid endarterectomy. J Neurosurg 64:29–34PubMed
5.
go back to reference Morrish W, Grahovac S, Douen A, Cheung G, Hu W, Farb R, Kalapos P, Wee R, Hudon M, Agbi C, Richard M (2000) Intracranial hemorrhage after stenting and angioplasty of extracranial carotid stenosis. AJNR Am J Neuroradiol 21:1911–1916PubMed Morrish W, Grahovac S, Douen A, Cheung G, Hu W, Farb R, Kalapos P, Wee R, Hudon M, Agbi C, Richard M (2000) Intracranial hemorrhage after stenting and angioplasty of extracranial carotid stenosis. AJNR Am J Neuroradiol 21:1911–1916PubMed
6.
go back to reference New G, Roubin GS, Iyer SS, Vitek JJ, Wholey MH, Diethrich EB, Hopkins LN, Hobson RW 2nd, Leon MB, Myla SV, et al (2000) Safety, efficacy, and durability of carotid artery stenting for restenosis following carotid endarterectomy: a multicenter study. J Endovasc Ther 7:345–352PubMed New G, Roubin GS, Iyer SS, Vitek JJ, Wholey MH, Diethrich EB, Hopkins LN, Hobson RW 2nd, Leon MB, Myla SV, et al (2000) Safety, efficacy, and durability of carotid artery stenting for restenosis following carotid endarterectomy: a multicenter study. J Endovasc Ther 7:345–352PubMed
7.
go back to reference Roubin GS, New G, Iyer SS, Vitek JJ, Al-Mubarak N, Liu MW, Yadav J, Gomez C, Kuntz RE (2001) Immediate and late clinical outcomes of carotid artery stenting in patients with symptomatic and asymptomatic carotid artery stenosis: a 5-year prospective analysis. Circulation 103:532–537 Roubin GS, New G, Iyer SS, Vitek JJ, Al-Mubarak N, Liu MW, Yadav J, Gomez C, Kuntz RE (2001) Immediate and late clinical outcomes of carotid artery stenting in patients with symptomatic and asymptomatic carotid artery stenosis: a 5-year prospective analysis. Circulation 103:532–537
8.
go back to reference Mathur A, Roubin GS, Iyer SS, et al (1998) Predictors of stroke complicating carotid artery stenting. Circulation 97:1239–1245PubMed Mathur A, Roubin GS, Iyer SS, et al (1998) Predictors of stroke complicating carotid artery stenting. Circulation 97:1239–1245PubMed
9.
go back to reference Qureshi AI, Luft AR, Janardhan V, et al (2000). Identification of patients at risk for periprocedural neurological deficits associated with carotid angioplasty and stenting. Stroke 31:376–382PubMed Qureshi AI, Luft AR, Janardhan V, et al (2000). Identification of patients at risk for periprocedural neurological deficits associated with carotid angioplasty and stenting. Stroke 31:376–382PubMed
10.
go back to reference McCabe DJH, Brown MM, Clifton A (1999) Fatal cerebral reperfusion hemorrhage after carotid stenting. Stroke 30:2483–2486PubMed McCabe DJH, Brown MM, Clifton A (1999) Fatal cerebral reperfusion hemorrhage after carotid stenting. Stroke 30:2483–2486PubMed
11.
go back to reference Meyers PM, Higashida RT, Phatouros CC, Malek AM, Lempert TE, Dowd CF, Halbach VV (2000) Cerebral hyperperfusion syndrome after percutaneous transluminal stenting of the craniocervical arteries. Neurosurgery 47:335–343; discussion 343–335PubMed Meyers PM, Higashida RT, Phatouros CC, Malek AM, Lempert TE, Dowd CF, Halbach VV (2000) Cerebral hyperperfusion syndrome after percutaneous transluminal stenting of the craniocervical arteries. Neurosurgery 47:335–343; discussion 343–335PubMed
12.
go back to reference Mori T, Fukuoka M, Kazita K, Mima T, Mori K (1999). Intraventricular hemorrhage after carotid stenting. J Endovasc Surg 6:337–341PubMed Mori T, Fukuoka M, Kazita K, Mima T, Mori K (1999). Intraventricular hemorrhage after carotid stenting. J Endovasc Surg 6:337–341PubMed
13.
go back to reference Phatouros CC, Meyers PM, Higashida RT, Malek AM, Lempert TE, Dowd CF, Halbach VV (2002). Intracranial hemorrhage and cerebral hyperperfusion syndrome after extracranial carotid artery angioplasty and stent placement. AJNR Am J Neuroradiol 23:503–504PubMed Phatouros CC, Meyers PM, Higashida RT, Malek AM, Lempert TE, Dowd CF, Halbach VV (2002). Intracranial hemorrhage and cerebral hyperperfusion syndrome after extracranial carotid artery angioplasty and stent placement. AJNR Am J Neuroradiol 23:503–504PubMed
14.
go back to reference Qureshi AI, Saad M, Zaidat OO, Suarez JI, Alexander MJ, Fareed M, Suri K, Ali Z, Hopkins LN (2002) Intracerebral hemorrhages associated with neurointerventional procedures using a combination of antithrombotic agents including abciximab. Stroke 33:1916–1919CrossRefPubMed Qureshi AI, Saad M, Zaidat OO, Suarez JI, Alexander MJ, Fareed M, Suri K, Ali Z, Hopkins LN (2002) Intracerebral hemorrhages associated with neurointerventional procedures using a combination of antithrombotic agents including abciximab. Stroke 33:1916–1919CrossRefPubMed
15.
go back to reference Abbie A (1933) The clinical significance of the anterior choroidal artery. Brain 56:16–24 Abbie A (1933) The clinical significance of the anterior choroidal artery. Brain 56:16–24
16.
go back to reference Cooper I (1954) Surgical alleviation of Parkinsonism: effect of occlusion of the anterior choroidal artery. J Am Geriatr Soc 11:691–718 Cooper I (1954) Surgical alleviation of Parkinsonism: effect of occlusion of the anterior choroidal artery. J Am Geriatr Soc 11:691–718
17.
go back to reference Friedman JA, Pichelmann MA, Piepgras DG, Atkinson JLD, Maher CO, Meyer FB, Hansen KK (2001) Ischemic complications of surgery for anterior choroidal artery aneurysms. J Neurosurg 94:565–572PubMed Friedman JA, Pichelmann MA, Piepgras DG, Atkinson JLD, Maher CO, Meyer FB, Hansen KK (2001) Ischemic complications of surgery for anterior choroidal artery aneurysms. J Neurosurg 94:565–572PubMed
18.
go back to reference Goldberg H (1974) The anterior choroidal artery. In: Newton T, Potts DG (eds) Radiology of the skull and brain.Mosby, St Louis, pp 1628–1658 Goldberg H (1974) The anterior choroidal artery. In: Newton T, Potts DG (eds) Radiology of the skull and brain.Mosby, St Louis, pp 1628–1658
19.
go back to reference Rhoton AJ, Fujii K, Fradd B (1979) Microsurgical anatomy of the anterior choroidal artery. Surg Neurol 12:171–187PubMed Rhoton AJ, Fujii K, Fradd B (1979) Microsurgical anatomy of the anterior choroidal artery. Surg Neurol 12:171–187PubMed
20.
go back to reference Ejaz AA, Meschia JF (1999) Thalamic hemorrhage following carotid endarterectomy-induced labile blood pressure: controlling the lability with clonidine. Angiology 50:327–330PubMed Ejaz AA, Meschia JF (1999) Thalamic hemorrhage following carotid endarterectomy-induced labile blood pressure: controlling the lability with clonidine. Angiology 50:327–330PubMed
21.
go back to reference Ouriel K, Shortell CK, Illig KA, Greenberg RK, Green RM (1999) Intracerebral hemorrhage after carotid endarterectomy: incidence, contribution to neurologic morbidity, and predictive factors. J Vasc Surg 29:82–87; discussion 87–89PubMed Ouriel K, Shortell CK, Illig KA, Greenberg RK, Green RM (1999) Intracerebral hemorrhage after carotid endarterectomy: incidence, contribution to neurologic morbidity, and predictive factors. J Vasc Surg 29:82–87; discussion 87–89PubMed
Metadata
Title
Thalamic hemorrhage following carotid angioplasty and stenting
Authors
Jonathan A. Friedman
David F. Kallmes
Eelco F. M. Wijdicks
Publication date
01-05-2004
Publisher
Springer-Verlag
Published in
Neuroradiology / Issue 5/2004
Print ISSN: 0028-3940
Electronic ISSN: 1432-1920
DOI
https://doi.org/10.1007/s00234-004-1199-x

Other articles of this Issue 5/2004

Neuroradiology 5/2004 Go to the issue

Announcements

May 2004

Society News

May 2004