Post-Carotid-Endarterectomy Intracerebral Hemorrhage: A Continuing Challenge. Case Reports

Bruce Alan Perler, G. Melville Williams

Research output: Contribution to journalArticle

Abstract

Over the past decade, 2 men and 2 women, ranging in age from sixty-two to seventy-seven (mean, 69.8) years, experienced strokes due to intracerebral hemorrhage within the first four days following uncomplicated carotid endarterectomy (CEA). All operated-on lesions were greater than 90% stenotic, and the contralateral internal carotid artery (ICA) was completely occluded in 3 patients and greater than 90% stenotic in the other patient. All 4 patients had a history of transient ischemia, including hemispheric transient ischemic attacks (TIAs) in 2, hemispheric and nonhemispheric TIAs in 1, and nonhemispheric TIAs in the fourth patient. None had experienced a prior stroke, and computed tomography (CT) scans of the head performed preoperatively in 2 patients were negative. Three patients had a history of hypertension and all 4 required pharmacologic treatment for hypertension intraoperatively and/or during the first postoperative day in the intensive care unit. Three patients died and the fourth recovered. Intracerebral hemorrhage is an infrequent and serious potential complication of CEA. Patients who undergo operation for critical ICA stenoses in the setting of severe contralateral ICA disease appear particularly vulnerable.

Original languageEnglish (US)
Pages (from-to)71-75
Number of pages5
JournalVascular and Endovascular Surgery
Volume30
Issue number1
StatePublished - Jan 1996

Fingerprint

Carotid Endarterectomy
Cerebral Hemorrhage
Transient Ischemic Attack
Stroke
Hypertension
Carotid Artery Diseases
Carotid Stenosis
Internal Carotid Artery
Intensive Care Units
Ischemia
Head
Tomography

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Post-Carotid-Endarterectomy Intracerebral Hemorrhage : A Continuing Challenge. Case Reports. / Perler, Bruce Alan; Williams, G. Melville.

In: Vascular and Endovascular Surgery, Vol. 30, No. 1, 01.1996, p. 71-75.

Research output: Contribution to journalArticle

@article{b80c0562dd674027b4e030b4225bcb4b,
title = "Post-Carotid-Endarterectomy Intracerebral Hemorrhage: A Continuing Challenge. Case Reports",
abstract = "Over the past decade, 2 men and 2 women, ranging in age from sixty-two to seventy-seven (mean, 69.8) years, experienced strokes due to intracerebral hemorrhage within the first four days following uncomplicated carotid endarterectomy (CEA). All operated-on lesions were greater than 90{\%} stenotic, and the contralateral internal carotid artery (ICA) was completely occluded in 3 patients and greater than 90{\%} stenotic in the other patient. All 4 patients had a history of transient ischemia, including hemispheric transient ischemic attacks (TIAs) in 2, hemispheric and nonhemispheric TIAs in 1, and nonhemispheric TIAs in the fourth patient. None had experienced a prior stroke, and computed tomography (CT) scans of the head performed preoperatively in 2 patients were negative. Three patients had a history of hypertension and all 4 required pharmacologic treatment for hypertension intraoperatively and/or during the first postoperative day in the intensive care unit. Three patients died and the fourth recovered. Intracerebral hemorrhage is an infrequent and serious potential complication of CEA. Patients who undergo operation for critical ICA stenoses in the setting of severe contralateral ICA disease appear particularly vulnerable.",
author = "Perler, {Bruce Alan} and Williams, {G. Melville}",
year = "1996",
month = "1",
language = "English (US)",
volume = "30",
pages = "71--75",
journal = "Vascular and Endovascular Surgery",
issn = "1538-5744",
publisher = "SAGE Publications Inc.",
number = "1",

}

TY - JOUR

T1 - Post-Carotid-Endarterectomy Intracerebral Hemorrhage

T2 - A Continuing Challenge. Case Reports

AU - Perler, Bruce Alan

AU - Williams, G. Melville

PY - 1996/1

Y1 - 1996/1

N2 - Over the past decade, 2 men and 2 women, ranging in age from sixty-two to seventy-seven (mean, 69.8) years, experienced strokes due to intracerebral hemorrhage within the first four days following uncomplicated carotid endarterectomy (CEA). All operated-on lesions were greater than 90% stenotic, and the contralateral internal carotid artery (ICA) was completely occluded in 3 patients and greater than 90% stenotic in the other patient. All 4 patients had a history of transient ischemia, including hemispheric transient ischemic attacks (TIAs) in 2, hemispheric and nonhemispheric TIAs in 1, and nonhemispheric TIAs in the fourth patient. None had experienced a prior stroke, and computed tomography (CT) scans of the head performed preoperatively in 2 patients were negative. Three patients had a history of hypertension and all 4 required pharmacologic treatment for hypertension intraoperatively and/or during the first postoperative day in the intensive care unit. Three patients died and the fourth recovered. Intracerebral hemorrhage is an infrequent and serious potential complication of CEA. Patients who undergo operation for critical ICA stenoses in the setting of severe contralateral ICA disease appear particularly vulnerable.

AB - Over the past decade, 2 men and 2 women, ranging in age from sixty-two to seventy-seven (mean, 69.8) years, experienced strokes due to intracerebral hemorrhage within the first four days following uncomplicated carotid endarterectomy (CEA). All operated-on lesions were greater than 90% stenotic, and the contralateral internal carotid artery (ICA) was completely occluded in 3 patients and greater than 90% stenotic in the other patient. All 4 patients had a history of transient ischemia, including hemispheric transient ischemic attacks (TIAs) in 2, hemispheric and nonhemispheric TIAs in 1, and nonhemispheric TIAs in the fourth patient. None had experienced a prior stroke, and computed tomography (CT) scans of the head performed preoperatively in 2 patients were negative. Three patients had a history of hypertension and all 4 required pharmacologic treatment for hypertension intraoperatively and/or during the first postoperative day in the intensive care unit. Three patients died and the fourth recovered. Intracerebral hemorrhage is an infrequent and serious potential complication of CEA. Patients who undergo operation for critical ICA stenoses in the setting of severe contralateral ICA disease appear particularly vulnerable.

UR - http://www.scopus.com/inward/record.url?scp=0030024582&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0030024582&partnerID=8YFLogxK

M3 - Article

AN - SCOPUS:0030024582

VL - 30

SP - 71

EP - 75

JO - Vascular and Endovascular Surgery

JF - Vascular and Endovascular Surgery

SN - 1538-5744

IS - 1

ER -