Cerebral Hyperperfusion Syndrome Following Concurrent Left Common Carotid Artery Stenting and Endarterectomy

Authors

Mudasser Mohammed Dayton Interventional Radiology, Dayton, USA
Omar Khan, MD Dayton Interventional Radiology, Dayton, USA
Mubin I. Syed, MD Dayton Interventional Radiology, Dayton, USA
Azim Shaikh, MD Dayton Interventional Radiology, Dayton, USA
Feras Deek Dayton Interventional Radiology, Dayton, USA

DOI:

Abstract

Treatment of carotid artery stenosis has been described as a risk factor for cerebral hyperperfusion syndrome. We present a case wherein an elderly female underwent concurrent stenting of a left common carotid artery origin stenosis and left carotid endarterectomy who presented with headache and left hemispheric symptoms 6 days post-procedure. Cerebral edema was seen on CT. The patient made a full recovery with no evidence of infarction.

Arch aortogram reveals a critical 90% stenosis of the origin of the left common carotid artery with a difficult to appreciate 70% stenosis of the left internal carotid artery due to poor contrast filling. Incidental note is made of a critical stenosis of the left subclavian artery.

Downloads

Published

2025-02-28

Issue

Vol. 19 No. 2 (2025)

Section

Interventional Radiology

License

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

The publisher holds the copyright to the published articles and contents. However, the articles in this journal are open-access articles distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 License, which permits reproduction and distribution, provided the original work is properly cited. The publisher and author have the right to use the text, images and other multimedia contents from the submitted work for further usage in affiliated programs. Commercial use and derivative works are not permitted, unless explicitly allowed by the publisher.