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Multiple Intra-Cranial Hemorrhages After Carotid Endarterectomy

Published online by Cambridge University Press:  18 September 2015

Ashfaq Shuaib ,
K. Michael Hunter  and
Melvin A. Anderson
Ashfaq Shuaib*
Affiliation:
Department of Clinical Neurosciences, Foothills Hospital and Calgary General Hospital, University of Calgary
K. Michael Hunter
Affiliation:
Department of Clinical Neurosciences, Foothills Hospital and Calgary General Hospital, University of Calgary
Melvin A. Anderson
Affiliation:
Department of Pathology, Calgary General Hospital
*
Duke-VA Center for Cerebrovascular Research, VA Medical Center, Durham, NC 27705, U.S.A.
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Abstract:

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Intra-cerebral hemorrhage is an unusual and often fatal complication of endarterectomy (CEA). Previous cerebral infarction, intra-operative or post operative hypertension, and the use of anti-coagulants are some of the defined major risk factors. Hemorrhage usually occurs early after CEA, and a second hemorrhage has only once been reported. We wish to report a patient who developed three separate hemorrhages following CEA. This patient had a long history of poorly controlled hypertension. We believe that poorly controlled hypertension, in addition to other reported factors, may be an important separate risk factor for post-CEA hemorrhage.

Type
Original Articles
Information
Canadian Journal of Neurological Sciences , Volume 16 , Issue 3 , August 1989 , pp. 345 - 347
Copyright
Copyright © Canadian Neurological Sciences Federation 1989

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