Prolonged Hemodynamic Instability with Hypotension and Bradycardia Following Carotid Artery Stenting: A Case Report
Ilaha Karimova
Department of Interventional Radiology, Riga East University Hospital, Stradins University, Riga, Latvia.
Aina Kratovska
Department of Interventional Radiology, Riga East University Hospital, Stradins University, Riga, Latvia.
Sanita Ponomorjova
Department of Interventional Radiology, Riga East University Hospital, Stradins University, Riga, Latvia.
Ieva Buce
Department of Anesthesiology and Intensive Care, Riga East University Hospital, Riga, Latvia.
Artur Silovs
Department of Interventional Radiology, Riga East University Hospital, Stradins University, Riga, Latvia.
Arturs Ligers
Department of Interventional Radiology, Riga East University Hospital, Stradins University, Riga, Latvia and Department of Vascular Surgery, Riga East University Hospital, University of Latvia, Riga, Latvia.
Reza Mohammadian *
Department of Interventional Radiology, Riga East University Hospital, Stradins University, Riga, Latvia.
*Author to whom correspondence should be addressed.
Abstract
Introduction: Carotid artery stenting (CAS) is a commonly performed procedure for the treatment of carotid artery stenosis. However, the occurrence of prolonged hemodynamic instability, characterized by hypotension and bradycardia, can present challenges during and after CAS. Interestingly, this phenomenon does not seem to be related to the patients' underlying cardiac conditions but may be more prevalent in elderly women.
Case Presentation: In this case report, we describe the clinical case of a 60-year-old male patient with a history of multiple cardiac conditions who encountered prolonged bradycardia and hypotension following CAS. The management approach focused on continuous monitoring and prompt intervention to stabilize the vital signs.
Conclusion: By enhancing our understanding of these complications and associated risk factors, healthcare providers can develop safer and more effective treatment strategies for patients undergoing CAS for carotid artery stenosis. This knowledge will contribute to improved patient care and better outcomes in this particular clinical setting.
Keywords: Carotid artery stenting, hemodynamic instability, hypotension, bradycardia