Fellowship of Interventional Cardiology, Tehran Heart Center, Tehran University of Medical Sciences, Tehran, Islamic Republic of Iran.
Tehran Heart Center, Tehran University of Medical Sciences, Tehran, Islamic Republic of Iran.
J Med Case Rep. 2022 Feb 9;16(1):67. doi: 10.1186/s13256-022-03270-5.
Hypotension and bradycardia are common hemodynamic complications following carotid artery stenting in patients with carotid artery stenosis. Intravenous fluid resuscitation and inotropes such as dopamine are conventional treatments for post-carotid artery stenting hypotension. However, in case of resistant hypotension, there is no clear treatment method. In this report, while intravenous fluid and inotropes did not resolve the patient's hypotension, oral midodrine treated post-carotid artery stenting hypotension.
In this report, we present an 82-year-old Caucasian man complaining of a single episode of unilateral visual loss. The patient had left internal carotid artery stenosis and underwent carotid artery stenting. After the procedure, he developed prolonged post-carotid artery stenting hypotension, which was resistant to intravenous fluids and inotropes but immediately showed a promising response to oral midodrine.
Oral midodrine can be considered in treatment of post-carotid artery stenting hemodynamic complications.
颈动脉狭窄患者行颈动脉支架置入术后常出现低血压和心动过缓等血流动力学并发症。静脉补液和多巴胺等正性肌力药物是治疗颈动脉支架置入术后低血压的常规方法。然而，对于顽固性低血压，目前尚无明确的治疗方法。在本报告中，虽然静脉补液和正性肌力药物未能纠正患者的低血压，但口服米多君治疗了颈动脉支架置入术后低血压。
本报告介绍了一位 82 岁的白人男性，主诉单侧视力丧失。该患者左侧颈内动脉狭窄，行颈动脉支架置入术。术后患者出现持续性颈动脉支架置入术后低血压，对静脉补液和正性肌力药物治疗无效，但口服米多君后即刻出现显著反应。
口服米多君可考虑用于治疗颈动脉支架置入术后血流动力学并发症。
