Prolonged hypotension following elective stenting of an internal carotid artery stenosis
- Resource Type
- Academic Journal
- Authors
- Winters, Hugh Stephen; Anderson, Craig; Parker, Geoff
- Source
- BMJ Case Reports. Jan 01, 2014 2014
- Subject
- Language
- English
- ISSN
- 1757-790X
We report a case of a 72-year-old man who had undergone elective stenting of an asymptomatic high grade stenosis of the proximal left internal carotid artery. The indication was progression of the stenosis over a 3 year period despite receiving maximal medical therapy, and patient preference for stenting over endarterectomy. He became profoundly hypotensive in the immediate post-stent period and required immediate and prolonged vasopressor support over the next week. The etiological hypothesis is baroreceptor hyperactivity related to procedure induced unilateral stretching of the carotid body.