Journal of Vascular Surgery
Volume 46, Issue 5 , Pages 846-854 , November 2007

Factors associated with hypotension and bradycardia after carotid angioplasty and stenting

Presented at Thirty-first Annual Meeting of the Southern Association for Vascular Surgery, Rio Grande, Puerto Rico, Jan 17-20, 2007.

Received 16 January 2007 ,Accepted 3 July 2007.

References 

  1. Yadav JS. Carotid stenting in high-risk patients: design and rationale of the SAPPHIRE trial. Cleve Clin J Med. 2004;71(suppl 1):S45–S46
  2. Yadav JS, Wholey MH, Kuntz RE, Fayad P, Katzen BT, Mishkel GJ, et al. Protected carotid-artery stenting versus endarterectomy in high-risk patients. N Engl J Med. 2004;351:1493–1501
  3. Gray WA, Hopkins LN, Yadav S, Davis T, Wholey M, Atkinson R, et al. Protected carotid stenting in high-surgical-risk patients: the ARCHeR results. J Vasc Surg. 2006;44:258–268
  4. Lin PH, Zhou W, Guerrero MA, McCoy SA, Felkai D, Kougias P, et al. Carotid artery stenting with distal protection using the carotid wallstent and filterwire neuroprotection: single-center experience of 380 cases with midterm outcomes. Vascular. 2006;14:237–244
  5. Cayne NS, Faries PL, Trocciola SM, Saltzberg SS, Dayal RD, Clair D, et al. Carotid angioplasty and stent-induced bradycardia and hypotension: Impact of prophylactic atropine administration and prior carotid endarterectomy. J Vasc Surg. 2005;41:956–961
  6. Dangas G, Laird JR, Satler LF, Mehran R, Mintz GS, Larrain G, et al. Postprocedural hypotension after carotid artery stent placement: predictors and short- and long-term clinical outcomes. Radiology. 2000;215:677–683
  7. Harrop JS, Sharan AD, Benitez RP, Armonda R, Thomas J, Rosenwasser RH. Prevention of carotid angioplasty-induced bradycardia and hypotension with temporary venous pacemakers. Neurosurgery. 2001;49:814–820discussion 820-2
  8. McKevitt FM, Sivaguru A, Venables GS, Cleveland TJ, Gaines PA, Beard JD, et al. Effect of treatment of carotid artery stenosis on blood pressure: a comparison of hemodynamic disturbances after carotid endarterectomy and endovascular treatment. Stroke. 2003;34:2576–2581
  9. Mlekusch W, Schillinger M, Sabeti S, Nachtmann T, Lang W, Ahmadi R, et al. Hypotension and bradycardia after elective carotid stenting: frequency and risk factors. J Endovasc Ther. 2003;10:851–859discussion 860-1
  10. Pappada G, Beghi E, Marina R, Agostoni E, Cesana C, Legnani F, et al. Hemodynamic instability after extracranial carotid stenting. Acta Neurochir (Wien). 2006;148:639–645
  11. Qureshi AI, Luft AR, Sharma M, Janardhan V, Lopes DK, Khan J, et al. Frequency and determinants of postprocedural hemodynamic instability after carotid angioplasty and stenting. Stroke. 1999;30:2086–2093
  12. Gupta R, Abou-Chebl A, Bajzer CT, Schumacher HC, Yadav JS. Rate, predictors, and consequences of hemodynamic depression after carotid artery stenting. J Am Coll Cardiol. 2006;47:1538–1543
  13. Nano G, Dalainas I, Bianchi P, Stegher S, Bet L, Malacrida G, et al. Ballooning-induced bradycardia during carotid stenting in primary stenosis and restenosis. Neuroradiology. 2006;48:533–536
  14. Gray WA, Yadav JS, Verta P, Scicli A, Fairman R, Wholey M, et al. The CAPTURE registry: results of carotid stenting with embolic protection in the post approval setting. Catheter Cardiovasc Interv. 2007;69:341–348
  15. Vozzi CR, Rodriguez AO, Paolantonio D, Smith JA, Wholey MH. Extracranial carotid angioplasty and stenting (Initial results and short-term follow-up). Tex Heart Inst J. 1997;24:167–172
  16. Lin PH, Bush RL, Lubbe DF, Cox MM, Zhou W, McCoy SA, et al. Carotid artery stenting with routine cerebral protection in high-risk patients. Am J Surg. 2004;188:644–652
  17. Lin PH, Bush RL, Lumsden AB. Carotid artery stenting: current status and future directions. Vasc Endovascular Surg. 2003;37:315–322
  18. Lin PH, Bush RL, Peden EK, Zhou W, Guerrero M, Henao EA, et al. Carotid artery stenting with neuroprotection: assessing the learning curve and treatment outcome. Am J Surg. 2005;190:850–857
  19. Roubin GS, New G, Iyer SS, Vitek JJ, Al-Mubarak N, Liu MW, et al Immediate and late clinical outcomes of carotid artery stenting in patients with symptomatic and asymptomatic carotid artery stenosis: a 5-year prospective analysis. Circulation. 2001;103:532–537
  20. Yadav JS, Roubin GS, Iyer S, Vitek J, King P, Jordan WD, et al. Elective stenting of the extracranial carotid arteries. Circulation. 1997;95:376–381
  21. Wholey MH, Wholey M, Mathias K, Roubin GS, Diethrich EB, Henry M, et al. Global experience in cervical carotid artery stent placement. Catheter Cardiovasc Interv. 2000;50:160–167
  22. Wholey MH, Wholey MH, Tan WA, Eles G, Jarmolowski C, Cho S. A comparison of balloon-mounted and self-expanding stents in the carotid arteries: immediate and long-term results of more than 500 patients. J Endovasc Ther. 2003;10:171–181
  23. Howell M, Krajcer Z, Dougherty K, Strickman N, Skolkin M, Toombs B, et al. Correlation of periprocedural systolic blood pressure changes with neurological events in high-risk carotid stent patients. J Endovasc Ther. 2002;9:810–816
  24. Chastain HD, Gomez CR, Iyer S, Roubin GS, Vitek JJ, Terry JB, et al. UAB Neurovascular Angioplasty Team Influence of age upon complications of carotid artery stenting. J Endovasc Surg. 1999;6:217–222
  25. Mathur A, Roubin GS, Iyer SS, Piamsonboon C, Liu MW, Gomez CR, et al. Predictors of stroke complicating carotid artery stenting. Circulation. 1998;97:1239–1245
  26. Leisch F, Kerschner K, Hofmann R, Steinwender C, Grund M, Bibl D, et al. Carotid sinus reactions during carotid artery stenting: predictors, incidence, and influence on clinical outcome. Catheter Cardiovasc Interv. 2003;58:516–523
  27. Grassi G, Seravalle G, Calhoun DA, Bolla G, Mancia G. Cigarette smoking and the adrenergic nervous system. Clin Exp Hypertens A. 1992;14:251–260
  28. Grassi G, Seravalle G, Calhoun DA, Bolla GB, Giannattasio C, Marabini M, et al. Mechanisms responsible for sympathetic activation by cigarette smoking in humans. Circulation. 1994;90:248–253
  29. Pfeifer MA, Weinberg CR, Cook DL, Reenan A, Halter JB, Ensinck JW, et al. Autonomic neural dysfunction in recently diagnosed diabetic subjects. Diabetes Care. 1984;7:447–453
  30. Watkins PJ, Edmonds ME. Sympathetic nerve failure in diabetes. Diabetologia. 1983;25:73–77
  31. Timmers HJ, Wieling W, Karemaker JM, Lenders JW. Denervation of carotid baro- and chemoreceptors in humans. J Physiol. 2003;553:3–11
  32. Mehta M, Rahmani O, Dietzek AM, Mecenas J, Scher LA, Friedman SG, et al. Eversion technique increases the risk for post-carotid endarterectomy hypertension. J Vasc Surg. 2001;34:839–845
  33. Bush RL, Lin PH, Bianco CC, Hurt JE, Lawhorn TI, Lumsden AB. Reevaluation of temporary transvenous cardiac pacemaker usage during carotid angioplasty and stenting: a safe and valuable adjunct. Vasc Endovascular Surg. 2004;38:229–235
  34. Lim HH, Ho KM, Choi WY, Teoh GS, Chiu KY. The use of intravenous atropine after a saline infusion in the prevention of spinal anesthesia-induced hypotension in elderly patients. Anesth Analg. 2000;91:1203–1206
  35. Stallard S, Prescott S. Postoperative urinary retention in general surgical patients. Br J Surg. 1988;75:1141–1143

 CME article

PII: S0741-5214(07)01180-9

doi: 10.1016/j.jvs.2007.07.020

Journal of Vascular Surgery
Volume 46, Issue 5 , Pages 846-854 , November 2007

Article Tools