Multivariable Analysis of Patients With Severe Persistent Postprocedural Hypotension After Carotid Artery Stenting
- Resource Type
- Authors
- Ramon L. Varcoe; Olufemi Oshin; Nishath Altaf; Jackie Wong; Koen Deloose; Sally Burrows; Iris Baumgartner; Rukshen Weerasooriya; Markus P. Schlaich; Bibombe P. Mwipatayi; William A. Gray
- Source
- Journal of Endovascular Therapy. 26:759-767
- Subject
- Carotid Artery Diseases
Male
medicine.medical_specialty
Time Factors
medicine.medical_treatment
Blood Pressure
Prosthesis Design
Risk Assessment
Severity of Illness Index
law.invention
Coronary artery bypass surgery
Risk Factors
law
Internal medicine
medicine
Humans
Radiology, Nuclear Medicine and imaging
Aged
Retrospective Studies
Aged, 80 and over
business.industry
Incidence
Endovascular Procedures
Stent
Odds ratio
Middle Aged
medicine.disease
Intensive care unit
Confidence interval
Contrast medium
Stenosis
Treatment Outcome
Blood pressure
Cardiology
Female
Stents
Surgery
Hypotension
Cardiology and Cardiovascular Medicine
business
- Language
- ISSN
- 1545-1550
1526-6028
Purpose: To assess the incidence and predictors of severe, persistent postprocedural hypotension (PPH) after carotid artery stenting (CAS). Materials and Methods: A total of 146 patients (mean age 72.8 years; 104 men) who underwent 160 CAS procedures using a standardized protocol at 3 vascular centers were retrospectively analyzed. The primary endpoint was postprocedural hypotension, defined as a reduction in systolic blood pressure (SBP) >40 mm Hg from baseline or an SBP of 1 hour after CAS. Potential prognostic factors for postprocedural hypotension were identified and subjected to logistic regression analyses; outcomes are presented as the odds ratios (ORs) with 95% confidence intervals (CIs). Results: PPH developed in 36 (24.7%) patients after 37 (23.1%) CAS procedures. These patients had significantly longer intensive care unit and hospital stays than those who did not develop hypotension (p