Role of Point-of-Care Cerebral Ultrasonography in Determining the Etiology of Post-carotid Endarterectomy Deficit: A Case Report.

Autor:	Touab R; Anesthesia and Critical Care, Mohamed V Military Teaching Hospital, Rabat, MAR., Chlouchi A; Cardiovascular Anesthesia and Critical Care, Mohamed V Military Teaching Hospital, Rabat, MAR., Meskine A; Cardiovascular Anesthesia and Critical Care, Mohamed V Military Teaching Hospital, Rabat, MAR., Drissi M; Cardiovascular Anesthesia and Critical Care, Mohamed V Military Teaching Hospital, Rabat, MAR., Balkhi H; Anesthesia and Critical Care, Mohamed V Military Teaching Hospital, Rabat, MAR.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2024 Jul 10; Vol. 16 (7), pp. e64225. Date of Electronic Publication: 2024 Jul 10 (Print Publication: 2024).
DOI:	10.7759/cureus.64225
Abstrakt:	Carotid revascularization surgery is notorious for its neurological morbimortality. We report the case of a 74-year-old hypertensive patient, who underwent left internal carotid artery endarterectomy for a 90% stenosis under general anesthesia, presenting in the immediate postoperative period with right hemiplegia without consciousness disorders. Evaluation by cerebral ultrasound at bedside led to suspicion of intracerebral hemorrhage, which was confirmed by cerebral CT scan. The patient was treated by neuroresuscitation measures in the absence of the possibility of surgical intervention. This hemorrhage may be explained by a reperfusion injury due to the loss of cerebral autoregulation of these vessels, the loss of controlling blood pressure, and the use of heparin in vascular surgery. This is a rare but fatal complication with a high mortality rate. Competing Interests: Human subjects: Consent was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work. (Copyright © 2024, Touab et al.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu