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


1,Clinical Department of Anaesthesiology and Intensive Therapy University Medical Centre Ljubljana

2,Department for Diagnostic and Interventional Neuroradiology University Medical Centre Ljubljana Clinical Institute for Radiology

DOI: 10.22514/SV92.112014.2 Vol.9,Issue 2,November 2014 pp.9-14

Published: 03 November 2014

*Corresponding Author(s): SERGEJA KOZAR E-mail:


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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SERGEJA KOZAR,MIRAN JEROMEL. Hyperperfusion and intracranial haemorrhage after carotid angioplasty with stenting – latest review. Signa Vitae. 2014. 9(2);9-14.


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