Post-procedural management of carotid stenting for internal carotid artery stenosis

Purpose: Strict control of arterial blood pressure is required if cerebral hyperperfusion after carotid stenting for internal carotid artery stenosis occurs. Here we retrospectively examined the occurrence and management of cerebral hyperperfusion after carotid stenting. Methods: We assessed 23 patients who underwent carotid stenting and whose cerebral perfusion on xenon-enhanced computed tomography was evaluated just after the procedure. The use of nicardipine and propofol was compared between patients whose cerebral blood flow ratio to the contralateral hemisphere increased >1.0 (n=8

carotid stenting

cerebral hyperperfusion syndrome

nicardipine

propofol

arterial blood pressure