More intracranial in carotid artery angioplasty patients!

Intracranial hemorrhage risk is higher after carotid artery Angioplasty and stenting in Symptomatic patients!

Intra cranial hemorrhage after carotid artery endarterectomy or carotid artery angioplasty and stenting is a serious complication. It is considered to be associated with cerebral hyper perfusion. Blood pressure in the peri procedural period is very important to avoid this complication. There seems to be 30 fold increased risk of mortality before discharge if there is intracranial hemorrhage. Symptomatic presentations and carotid artery angioplasty and stenting are associated with 6 fold to 7 fold increased risk of intracranial hemorrhage when compared to the carotid endarterectomy. This point needs attention when we consider carotid artery angioplasty stenting in symptomatic patients!!!

Ref: http://stroke.ahajournals.org/content/42/10/2782.abstract