Hyperperfusion syndrome after stent placement for subclavian artery stenosis: case report

Neurol Med Chir (Tokyo). 2012;52(12):902-5. doi: 10.2176/nmc.52.902.

Abstract

A 60-year-old woman presented with a rare case of hyperperfusion syndrome after stent placement for subclavian artery stenosis manifesting as dizziness due to vertebrobasilar insufficiency. Three days after undergoing stent placement to treat the severely stenotic (90%) right subclavian artery, she suffered intracranial hemorrhage related to hyperperfusion syndrome. Preoperative single-photon emission computed tomography findings of low cerebral perfusion and poor perfusion reserve might indicate the possibility of hyperperfusion syndrome after stenting in patients with subclavian artery stenosis.

Publication types

  • Case Reports

MeSH terms

  • Cerebral Angiography
  • Female
  • Humans
  • Hyperemia / diagnosis
  • Hyperemia / etiology*
  • Intracranial Hemorrhages / diagnosis
  • Intracranial Hemorrhages / etiology*
  • Magnetic Resonance Angiography
  • Middle Aged
  • Risk Factors
  • Stents*
  • Subclavian Steal Syndrome / diagnosis
  • Subclavian Steal Syndrome / therapy*
  • Syndrome
  • Technetium Tc 99m Exametazime
  • Tomography, Emission-Computed, Single-Photon
  • Tomography, X-Ray Computed
  • Vertebrobasilar Insufficiency / diagnosis
  • Vertebrobasilar Insufficiency / therapy

Substances

  • Technetium Tc 99m Exametazime