Incidence and timing of hypotension after transcervical carotid artery stenting

Objectives: To assess the incidence and timing of hypotension after carotid artery stenting (CAS) and its correlation with postoperative complications. Background: CAS-associated postoperative hypotension has been linked to surgical morbidity and mortality, especially to stroke and cardiac complicat...

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Autores: Cirbian, Jesús, Echaniz Barbero, Gastón Rodrigo, Silva, Lorena, Nadal Clanchet, Miriam de|||0000-0002-4559-2463
Tipo de recurso: artículo
Fecha de publicación:2014
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:324058
Acceso en línea:https://ddd.uab.cat/record/324058
https://dx.doi.org/urn:doi:10.1002/ccd.25615
Access Level:acceso abierto
Palabra clave:Blood vessel prosthesis
Carotid arteries/surgery
Hypotension
Stents
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spelling Incidence and timing of hypotension after transcervical carotid artery stentingCorrelation with postoperative complicationsCirbian, JesúsEchaniz Barbero, Gastón RodrigoSilva, LorenaNadal Clanchet, Miriam de|||0000-0002-4559-2463Blood vessel prosthesisCarotid arteries/surgeryHypotensionStentsObjectives: To assess the incidence and timing of hypotension after carotid artery stenting (CAS) and its correlation with postoperative complications. Background: CAS-associated postoperative hypotension has been linked to surgical morbidity and mortality, especially to stroke and cardiac complications. Methods: Ninety-seven consecutive patients undergoing transcervical CAS were monitored for at least 12 hr after operation. Hypotension was defined as systolic blood pressure< 90 mm Hg. Patients were divided into three groups: normal blood pressure and early (6 hr) and late (>6 hr) hypotension. Complications were recorded. Results: Hypotension occurred in 34% of the patients (early hypotension in 63% of them). Hypotension was recorded in 21.6% of patients during surgery and in 21.6%, 15.5%, and 1.0% at 6, 12, and 24 hr postoperatively. Bradycardia occurred in 26.8% during operation and in 25.8%, 13.4%, and 10.3% at 6, 12, and 24 hr after surgery. Intraoperative bradycardia (P50.01) and hypotension (P50.02) were predictors of postoperative hypotension. The overall rate of complications was 5% without differences between the study groups. The mean length of stay was 3, 3.6, and 2.8 days in the normotensive, early hypotension, and late hypotension groups, respectively. Conclusions: Most postoperative hypotension episodes occurred within the first 6 hr, and more than one-third between the 6 and 12 hr post-procedure. All patients with late hypotension were asymptomatic. There was no difference in complications between the study groups. In patients undergoing ambulatory CAS, hemodynamic monitoring in the postoperative period is particularly important during the first 12 hr. 22014-01-0120142014-01-01Articlehttp://purl.org/coar/resource_type/c_6501AMhttp://purl.org/coar/version/c_ab4af688f83e57aainfo:eu-repo/semantics/articleapplication/pdfhttps://ddd.uab.cat/record/324058https://dx.doi.org/urn:doi:10.1002/ccd.25615reponame:Dipòsit Digital de Documents de la UABinstname:Universitat Autònoma de BarcelonaInglésengopen accesshttp://purl.org/coar/access_right/c_abf2Aquest material està protegit per drets d'autor i/o drets afins. Podeu utilitzar aquest material en funció del que permet la legislació de drets d'autor i drets afins d'aplicació al vostre cas. Per a d'altres usos heu d'obtenir permís del(s) titular(s) de drets.https://rightsstatements.org/vocab/InC/1.0/info:eu-repo/semantics/openAccessoai:ddd.uab.cat:3240582026-06-06T12:50:31Z
dc.title.none.fl_str_mv Incidence and timing of hypotension after transcervical carotid artery stenting
Correlation with postoperative complications
title Incidence and timing of hypotension after transcervical carotid artery stenting
spellingShingle Incidence and timing of hypotension after transcervical carotid artery stenting
Cirbian, Jesús
Blood vessel prosthesis
Carotid arteries/surgery
Hypotension
Stents
title_short Incidence and timing of hypotension after transcervical carotid artery stenting
title_full Incidence and timing of hypotension after transcervical carotid artery stenting
title_fullStr Incidence and timing of hypotension after transcervical carotid artery stenting
title_full_unstemmed Incidence and timing of hypotension after transcervical carotid artery stenting
title_sort Incidence and timing of hypotension after transcervical carotid artery stenting
dc.creator.none.fl_str_mv Cirbian, Jesús
Echaniz Barbero, Gastón Rodrigo
Silva, Lorena
Nadal Clanchet, Miriam de|||0000-0002-4559-2463
author Cirbian, Jesús
author_facet Cirbian, Jesús
Echaniz Barbero, Gastón Rodrigo
Silva, Lorena
Nadal Clanchet, Miriam de|||0000-0002-4559-2463
author_role author
author2 Echaniz Barbero, Gastón Rodrigo
Silva, Lorena
Nadal Clanchet, Miriam de|||0000-0002-4559-2463
author2_role author
author
author
dc.subject.none.fl_str_mv Blood vessel prosthesis
Carotid arteries/surgery
Hypotension
Stents
topic Blood vessel prosthesis
Carotid arteries/surgery
Hypotension
Stents
description Objectives: To assess the incidence and timing of hypotension after carotid artery stenting (CAS) and its correlation with postoperative complications. Background: CAS-associated postoperative hypotension has been linked to surgical morbidity and mortality, especially to stroke and cardiac complications. Methods: Ninety-seven consecutive patients undergoing transcervical CAS were monitored for at least 12 hr after operation. Hypotension was defined as systolic blood pressure< 90 mm Hg. Patients were divided into three groups: normal blood pressure and early (6 hr) and late (>6 hr) hypotension. Complications were recorded. Results: Hypotension occurred in 34% of the patients (early hypotension in 63% of them). Hypotension was recorded in 21.6% of patients during surgery and in 21.6%, 15.5%, and 1.0% at 6, 12, and 24 hr postoperatively. Bradycardia occurred in 26.8% during operation and in 25.8%, 13.4%, and 10.3% at 6, 12, and 24 hr after surgery. Intraoperative bradycardia (P50.01) and hypotension (P50.02) were predictors of postoperative hypotension. The overall rate of complications was 5% without differences between the study groups. The mean length of stay was 3, 3.6, and 2.8 days in the normotensive, early hypotension, and late hypotension groups, respectively. Conclusions: Most postoperative hypotension episodes occurred within the first 6 hr, and more than one-third between the 6 and 12 hr post-procedure. All patients with late hypotension were asymptomatic. There was no difference in complications between the study groups. In patients undergoing ambulatory CAS, hemodynamic monitoring in the postoperative period is particularly important during the first 12 hr.
publishDate 2014
dc.date.none.fl_str_mv 2
2014-01-01
2014
2014-01-01
dc.type.none.fl_str_mv Article
http://purl.org/coar/resource_type/c_6501
AM
http://purl.org/coar/version/c_ab4af688f83e57aa
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://ddd.uab.cat/record/324058
https://dx.doi.org/urn:doi:10.1002/ccd.25615
url https://ddd.uab.cat/record/324058
https://dx.doi.org/urn:doi:10.1002/ccd.25615
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
https://rightsstatements.org/vocab/InC/1.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
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eu_rights_str_mv openAccess
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dc.source.none.fl_str_mv reponame:Dipòsit Digital de Documents de la UAB
instname:Universitat Autònoma de Barcelona
instname_str Universitat Autònoma de Barcelona
reponame_str Dipòsit Digital de Documents de la UAB
collection Dipòsit Digital de Documents de la UAB
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