By Thomas Forbes
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Additional resources for Angioplasty, Various Techniques and Challenges in Treatment of Congenital and Acquired Vascular Stenoses
A high dose of contrast agent may result in acute breakdown of the blood-brain barrier, allowing the contrast material to enter the brain and resulting in the acute development of a dramatic clinical presentation. The higher osmolality of ioxaglate compared with blood may in turn produce fluid extravasation and cerebral edema. The prognosis is usually excellent, as is evidenced by other recently published cases occurring after endovascular procedures (Guimaraens et al, 2010, Fang et al, 2009; Paúl et al, 2009).
Hyperperfusion syndrome after intracranial angioplasty and stent placement. ; Dowd, CF & Halbach, VV: Cerebral hyperperfusion syndrome after percutaneous transluminal stenting of the craniocervical arteries. Neurosurgery 47: 335– 343, 2000. ; Winn, HR & Patel, AB. Outcomes of carotid artery stenting in high-risk patients with carotid artery stenosis: a single neurovascular center retrospective review of 101 consecutive patients. Neurosurgery. 2010 Mar; 66 (3): 448-53; discussion 453-4. ; Iwai, T & Shimaguchi H.
Yuh, WT & Ueda T, et al. Severe occlusive carotid artery disease: hemodynamic assessment by MR perfusion imaging in symptomatic patients. AJNR Am J Neuroradiol. 1999; 20:43Y51. ; Hoopes, PJ & Lewis LD. Visualization of intravenously administered contrast material in the CSF on fluid-attenuated inversion- recovery MR images: an in vitro and animal-model investigation. AJNR Am J Neuroradiol. 2000; 21: 105111. ; Grunnet, M & Ruby, ST. Intracerebral hemorrhage after carotid endarterectomy associated with ipsilateral fibrinoid necrosis:a consequence of the hyperperfusion syndrome?
Angioplasty, Various Techniques and Challenges in Treatment of Congenital and Acquired Vascular Stenoses by Thomas Forbes