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Annals of Nuclear Medicine

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02.08.2016 | Case Report

Cerebral hyperperfusion syndrome resulting in subarachnoid hemorrhage after carotid artery stenting

verfasst von: Makoto Isozaki, Yoshikazu Arai, Yoshifumi Higashino, Hidehiko Okazawa, Ken-ichiro Kikuta

Erschienen in: Annals of Nuclear Medicine | Ausgabe 9/2016

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Abstract

A 64-year-old, right-handed man underwent endovascular treatment for internal carotid artery stenosis after experiencing a left-hemispheric transient ischemic attack. ¹⁵O-gas and H ₂ ¹⁵ O positron emission tomography revealed slightly reduced cerebral blood flow (CBF), elevated cerebral blood volume, and severely reduced cerebral vasoreactivity in the ipsilateral hemisphere as determined by an acetazolamide challenge test. The patient underwent left carotid artery stenting (CAS) via a prefemoral approach under local anesthesia without any complications. Follow-up examinations performed 20 h postoperatively showed subarachnoid hemorrhage (SAH) and cerebral hyperperfusion syndrome (CHS) in the left frontal lobe. Although it is a relatively rare phenomenon, SAH resulting from CHS was determined to be specifically caused by CAS. In this case, the causes of SAH may have been related to multiple factors including increased regional CBF, loss of cerebrovascular autoregulation, contrast agent-mediated disruption of major cerebral vessels, and strong antiplatelet therapy.

Alex AC, Jay SY, Joel PR, Christopher B, Deepak B, Derk WK. Intracranial hemorrhage and hyperperfusion syndrome following carotid artery stenting. JACC. 2004;43:1596–601.CrossRef

Dominick JHM, Martin MB, Andrew C. Fatal cerebral reperfusion hemorrhage after carotid stenting. Stroke. 1999;30:2483–6.CrossRef

Sundt TM, Sharbrough FW, Piepgras DG, Kearns TP, Messick JM, O’Fallon WM. Correlation of cerebral blood flow electroencephalographic changes during carotid endarterectomy. Mayo Clin Proc. 1981;56:533–43.PubMed

Ogasawara K, Sakai N, Kuroiwa T, Hosoda K, Iihara K, Toyoda K, et al. Intracranial hemorrhage associated with cerebral hyperperfusion syndrome following carotid endarterectomy and carotid artery stenting: retrospective review of 4494 patients. J Neurosurg. 2007;107:1130–6.CrossRefPubMed

Hartmann M, Weber R, Zoubaa S, Schranz C, Knauth M. Fatal subarachnoid hemorrhage after carotid stenting. J Neuroradiol. 2004;31:63–6.CrossRefPubMed

Kim YH, Park DW, Lee SW, Yun SC, Lee CW, Hong MK, et al. Long-term safety and effectiveness of unprotected left main coronary stenting with drug-eluting stents compared with bare metal stents. Circulation. 2009;120:400–7.CrossRefPubMed

Okazawa H, Tsuchida T, Kobayashi M, Arai Y, Marco P, Isozaki M, Yonekura Y. Can the detection of misery perfusion in chronic cerebrovascular disease be based on reductions in baseline CBF and vasoreactivity? Eur J Med Mol Imaging. 2007;34:121–9.CrossRef

Okazawa H, Yamauchi H, Sugumoto K, Toyoda H, Kshibe Y, Takahashi M. Effects of acetazolamide on cerebral blood flow, blood volume and oxygen metabolism: a PET study with healthy volunteers. J Cereb Blood Flow Metab. 2001;21:1472–9.CrossRefPubMed

Ogasawara K, Inoue T, Kobayashi M, Endo H, Fukuda T, Ogawa A. Pretreatment with the free radical scavenger edaravone prevents cerebral hyperperfusion after carotid endarterectomy. Neurosurgery. 2004;55(5):1060–7.CrossRefPubMed

10.

Harrison PB, Wong MJ, Belzberg A, Holden J. Hyperperfusion syndrome after carotid endarterectomy: CT changes. Neuroradiology. 1991;33:106–10.CrossRefPubMed

11.

Mansoor G, White W, Grunnet M, Ruby ST. Intracerebral hemorrhage after carotid endarterectomy associated with ipsilateral fibrinoid necrosis: a consequence of hyperperfusion syndrome? J Vasc Surg. 1996;23:147–51.CrossRefPubMed

12.

Kuroda S, Houkin K, Kamiyama H, Mitsumori K, Iwasaki Y, Abe H. Long-term prognosis of medically treated patients with internal carotid or middle cerebral artery occlusion: can acetazolamide test predict it? Stroke. 2001;32:2110–6.CrossRefPubMed

13.

Dong Y, Fukuyama H, Nabatame H, Yamauchi H, Shibasaki H, Yonekura Y. Assessment of benzodiazepine receptors using iodine-123–labeled iomazenil single-photon emission computed tomography in patients with ischemic cerebrovascular disease. Stroke. 1997;28:1776–82.CrossRefPubMed

14.

Hosoda K, Kawaguchi T, Shibata Y, Kamei M, Kidoguchi K, Koyama J, et al. Cerebral vasoreactivity and internal carotid artery flow help to identify patients at risk for hyperperfusion after carotid endarterectomy. Stroke. 2001;32:1567–73.CrossRefPubMed

15.

Ogasawara K, Yukawa H, Kobayashi M, Mikami C, Konno H, Terasaki K, et al. Prediction and monitoring of cerebral hyperperfusion after carotid endarterectomy by using single-photon emission computerized tomography scanning. J Neurosurg. 2003;99:504–10.CrossRefPubMed

16.

Abou-Chebl A, Yadav JS, Reginelli JP, Bajzer C, Bhatt D, Krieger DW. Intracranial hemorrhage and hyperperfusion syndrome following carotid artery stenting: risk factors, prevention, and treatment. JACC. 2004;43:1596–601.CrossRefPubMed

17.

Piepgras DG, Morgan MK, Sundt TM Jr, Yanagihara T, Mussman LM. Intracerebral hemorrhage after carotid endarterectomy. J Neurosurg. 1988;68:532–6.CrossRefPubMed

18.

Muruve DA, Steinman TI. Contrast-induced encephalopathy and seizures in a patient with chronic renal insufficiency. Clin Nephrol. 1996;45:406–9.PubMed

19.

Fang HY, Kuo YL, Wu CJ. Transient contrast encephalopathy after carotid artery stenting mimicking diffuse subarachnoid hemorrhage: case report. Catheter Cardiovasc Interv. 2009;73:123–6.CrossRefPubMed

20.

Rosengarten B, Steen-Müller MK, Müller A, Traupe H, Voss RK, Kaps M. Contrast media effect on cerebral blood flow regulation after performance of cerebral or coronary angiography. Cerebrovasc Dis. 2003;16:42–6.CrossRefPubMed

21.

Grubb RL Jr, Hernandez-Perez MJ, Raichle ME, Phelps ME. The effects of iodinated contrast agents on autoregulation of cerebral blood flow. Stroke. 1974;5(2):155–60.CrossRefPubMed

22.

Chen BR, Kozberg MG, Bouchard MB, Shaik MA, Hillman EM. A critical role for the vascular endothelium in functional neurovascular coupling in the brain. J Am Heart Assoc. 2014;3(3):e000787.CrossRefPubMedPubMedCentral

23.

Schmidt M, Johansen MB, Lash TL, Christiansen CF, Christensen S, Sørenson HT. Antiplatelet drugs and risk of subarachnoid hemorrhage: a population-based case-control study. J Thromb Haemost. 2010;8:1468–74.CrossRefPubMed

Titel: Cerebral hyperperfusion syndrome resulting in subarachnoid hemorrhage after carotid artery stenting
verfasst von: Makoto Isozaki
Yoshikazu Arai
Yoshifumi Higashino
Hidehiko Okazawa
Ken-ichiro Kikuta
Publikationsdatum: 02.08.2016
Verlag: Springer Japan
Erschienen in: Annals of Nuclear Medicine / Ausgabe 9/2016
Print ISSN: 0914-7187
Elektronische ISSN: 1864-6433
DOI: https://doi.org/10.1007/s12149-016-1108-5

Live-Webinar "Chronische Unterbauch- und Viszeralschmerzen in der Praxis managen"

Springer Medizin

Cerebral hyperperfusion syndrome resulting in subarachnoid hemorrhage after carotid artery stenting

Abstract

Live-Webinar "Chronische Unterbauch- und Viszeralschmerzen in der Praxis managen"

Springer Medizin

Abstract

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