Key result
Left carotid artery stenting was followed by fatal delayed hemodynamic depression eight hours post-procedure in a 62-year-old male, potentially exacerbated by pre-existing ventricular dysfunction.
Case Report (n=1)
Fatal delayed hemodynamic depression can occur hours after carotid artery stenting, potentially exacerbated by pre-existing LV dysfunction and vasopressor-induced complete heart block.
Supports vigilance for delayed fatal collapse after carotid stenting in LV dysfunction; leaves open vasopressor effects on covert conduction disease.
Refractory and fatal hemodynamic depression remarkably occurred eight hours after left carotid artery stenting in a 62-year-old male who had no hemodynamic instability till then; possible contributory factors were pre-existing moderate left ventricular systolic dysfunction and new-onset complete heart block caused by vasopressor-induced sympathetic stimulation in the presence of covert distal conduction system disease.
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Joseph et al. (2014) conducted a case report in Hemodynamic depression after carotid artery stenting (n=1). Left carotid artery stenting was evaluated on Hemodynamic depression. Left carotid artery stenting was followed by fatal delayed hemodynamic depression eight hours post-procedure in a 62-year-old male, potentially exacerbated by pre-existing ventricular dysfunction.
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