Hyperperfusion and intracranial haemorrhage after carotid angioplasty with stenting – latest review

The number of endovascular procedures is constantly increasing. As far as the carotid artery is concerned, carotid angio-plasty with stenting (CAS) is an alternative to surgical treatment (carotid endarterectomy; CEA).

Two major devastating complications can occur after both procedures – cerebral hyperperfusion syndrome (CHS) and intracranial haemorrhage (ICH). 

The incidence of CHS and ICH in CAS is fortunately low but overall morbidity and mortality remains high.

This latest review re-evaluates the pathogenesis, clinical features, risk factors and diagnostic procedures as well as mana-gement of these two complications.

carotid artery stenting, complications, hyperperfusion syn-drome, intracranial haemorrhage

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