Key result
Carotid artery stenting in a 60-year-old male with multiple cardiac conditions was followed by prolonged bradycardia and hypotension requiring prompt intervention to stabilize vital signs.
Why the study?
Prolonged hemodynamic instability with hypotension and bradycardia presents clinical challenges during and after carotid artery stenting and does not seem related to underlying cardiac conditions.
Case Report (n=1)
This case highlights the risk of prolonged hemodynamic instability (hypotension and bradycardia) following carotid artery stenting, emphasizing the need for continuous monitoring and prompt intervention.
Alerts to periprocedural instability risk in complex cardiac patients; single case leaves open incidence and monitoring protocols.
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.
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Karimova et al. (2023) conducted a case report in Carotid artery stenosis (n=1). Carotid artery stenting (CAS) was evaluated on Prolonged hemodynamic instability (hypotension and bradycardia). Carotid artery stenting in a 60-year-old male with multiple cardiac conditions was followed by prolonged bradycardia and hypotension requiring prompt intervention to stabilize vital signs.
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