Korean J Anesthesiol.  2005 Oct;49(4):585-589. 10.4097/kjae.2005.49.4.585.

Anesthetic Management of Patients during Carotid Balloon Angioplasty and Stenting: A case report

Affiliations
  • 1Department of Anesthesiology and Pain Medicine, College of Medicine, Kyunghee University, Seoul, Korea. cykyko@unitel.co.kr
  • 2Department of Radiology, College of Medicine, Kyunghee University, Seoul, Korea.
  • 3Department of Neurosurgery, College of Medicine, Kyunghee University, Seoul, Korea.

Abstract

Carotid balloon angioplasty and stenting has been suggested to be a safer and more cost-effective alternative to carotid endarterectomy for the management of carotid artery stenosis, especially in high risk patients or poor candidates for standard carotid endarterectomy. We conducted anesthetic management in patients receiving carotid balloon angioplasty and stenting. General anesthesia was performed in 2 cases and anesthesia care was monitored in 5 cases to ensure hemodynamic stability. No severe complications such as major stroke occurred during the procedures. One case with monitored anesthesia care showed a rapid decrease in arterial pressure and transient bradycardia during balloon inflation, but these immediately resolved.

Keyword

anesthetic management; carotid angioplasty; carotid stenting

MeSH Terms

Anesthesia
Anesthesia, General
Angioplasty, Balloon*
Arterial Pressure
Bradycardia
Carotid Stenosis
Endarterectomy, Carotid
Hemodynamics
Humans
Inflation, Economic
Stents*
Stroke
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