Journal of Shandong University (Health Sciences) ›› 2023, Vol. 61 ›› Issue (7): 78-82.doi: 10.6040/j.issn.1671-7554.0.2023.0067

• 临床医学 • Previous Articles     Next Articles

Risk factors of severe persistent hypotension after carotid artery bifurcation stenting

QU Yongqiang, ZHAO Zeyu, WU Xingyuan, HAN Wei, DUAN Ruisheng, LI Yanbin, LI Heng   

  1. Department of Neurology, The First Affiliated Hospital of Shandong First Medical University &
    Shandong Provincial Qianfoshan Hospital, Shandong Institute of Neuroimmunology, Shandong Key Laboratory of Rheumatic Disease and Translational Medicine, Jinan 250014, Shandong, China
  • Published:2023-07-04

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Abstract: Objective To analyze the risk factors of severe persistent hypotension after carotid artery bifurcation stenting. Methods Clinical data of 177 patients(181 lesions)with carotid artery bifurcation stenosis who underwent stenting during Oct. 2014 and Apr. 2022 were retrospectively analyzed. The risk factors for postoperative severe persistent hypotension were analyzed with univariate and multivariate Logistic regression models. Results The incidence of severe persistent hypotension was 53.1%. Univariate analysis showed that large stent diameter, intraoperative use of atropine, balloon dilation diameter >5 mm, eccentric stenosis and severe stenosis were risk factors of severe persistent hypotension. Multivariate analysis indicated that intraoperative use of atropine, balloon dilation diameter >5 mm and severe stenosis were independent risk factors. Conclusions Hemodynamic impairment is a common complication after carotid artery bifurcation stenting. Intraoperative use of atropine, balloon dilation diameter > 5mm and severe stenosis are independent risk factors of severe persistent hypotension.

Key words: Carotid artery bifurcation stenosis, Stent, Hypotension, Risk factor

CLC Number: 

  • R574
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