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Experimental and Therapeutic Medicine
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Print ISSN: 1792-0981 Online ISSN: 1792-1015
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September-2017 Volume 14 Issue 3

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Risk factors and preventive measures of cerebral hyperperfusion syndrome after carotid artery interventional therapy

  • Authors:
    • Shibo Wang
    • Jing Han
    • Lei Cheng
    • Nengpeng Li

  • View Affiliations / Copyright

    Affiliations: Department of Neurosurgery, Tianjin Huanhu Hospital, Tianjin 300350, P.R. China, Department of Magnetic Resonance Imaging, Tianjin Huanhu Hospital, Tianjin 300350, P.R. China, Department of Neurosurgery, Chengdu Aerospace Hospital, Chengdu, Sichuan 610100, P.R. China
    Copyright: © Wang et al. This is an open access article distributed under the terms of Creative Commons Attribution License.
  • Pages: 2517-2520
    |
    Published online on: July 17, 2017
       https://doi.org/10.3892/etm.2017.4796
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Abstract

This study sought to investigate the risk factors for cerebral hyperperfusion syndrome (CHS) after carotid artery interventional therapy, and to explore potential preventive measures. Three hundred and eighty-two patients treated with carotid artery stenting at the Huanhu Hospital (Tianjin, China) between January 2010 and January 2016 were divided into CHS and non-CHS groups. A retrospective analysis of patient clinical data was made. The CHS group had more patients presenting coronary heart disease, diabetes, progressive neurological disease and transient recurrent cerebral hemorrhage than the non-CHS group. More patients in the CHS group presented stenosis of the internal carotid artery siphon. More CHS group patients showed plaque formation extending >3 cm to the distal end of the internal carotid artery. Finally, more CHS group patients had pressure gradients >60 mmHg (p<0.05). Logistics regression analysis showed that preoperative diabetes mellitus and carotid pressure gradient ≥60 mmHg were independent risk factors for CHS (p<0.05). The ROC curve of carotid pressure gradients ≥60 mmHg were made to predict CHS, with the area under curve being 0.949 (p<0.05). The best cut-off value was 60 mmHg. Therefore, preoperative diabetes and a carotid pressure gradient ≥60 mmHg are risk factors for CHS, and these indicators need to be examined prior to operation.

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Copy and paste a formatted citation
Spandidos Publications style
Wang S, Han J, Cheng L and Li N: Risk factors and preventive measures of cerebral hyperperfusion syndrome after carotid artery interventional therapy. Exp Ther Med 14: 2517-2520, 2017.
APA
Wang, S., Han, J., Cheng, L., & Li, N. (2017). Risk factors and preventive measures of cerebral hyperperfusion syndrome after carotid artery interventional therapy. Experimental and Therapeutic Medicine, 14, 2517-2520. https://doi.org/10.3892/etm.2017.4796
MLA
Wang, S., Han, J., Cheng, L., Li, N."Risk factors and preventive measures of cerebral hyperperfusion syndrome after carotid artery interventional therapy". Experimental and Therapeutic Medicine 14.3 (2017): 2517-2520.
Chicago
Wang, S., Han, J., Cheng, L., Li, N."Risk factors and preventive measures of cerebral hyperperfusion syndrome after carotid artery interventional therapy". Experimental and Therapeutic Medicine 14, no. 3 (2017): 2517-2520. https://doi.org/10.3892/etm.2017.4796
Copy and paste a formatted citation
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Spandidos Publications style
Wang S, Han J, Cheng L and Li N: Risk factors and preventive measures of cerebral hyperperfusion syndrome after carotid artery interventional therapy. Exp Ther Med 14: 2517-2520, 2017.
APA
Wang, S., Han, J., Cheng, L., & Li, N. (2017). Risk factors and preventive measures of cerebral hyperperfusion syndrome after carotid artery interventional therapy. Experimental and Therapeutic Medicine, 14, 2517-2520. https://doi.org/10.3892/etm.2017.4796
MLA
Wang, S., Han, J., Cheng, L., Li, N."Risk factors and preventive measures of cerebral hyperperfusion syndrome after carotid artery interventional therapy". Experimental and Therapeutic Medicine 14.3 (2017): 2517-2520.
Chicago
Wang, S., Han, J., Cheng, L., Li, N."Risk factors and preventive measures of cerebral hyperperfusion syndrome after carotid artery interventional therapy". Experimental and Therapeutic Medicine 14, no. 3 (2017): 2517-2520. https://doi.org/10.3892/etm.2017.4796
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