Karotis arter stentleme sırasında tekrarlayan derin bradikardi ve asistol yeni bir tedavi protokolü ve hemodinamik komplikasyonların yönetimi

Karotis arter stenozu serebrovasküler olaylar için önemli bir risk faktörüdür. Karotis arter (İKA) stenozunun stentlenerek yapılan tedavisi rutin klinik uygulamaya girmiştir. Stentleme işlemi süresince ve işlem sonrasında hayatı tehdit eden hemodinamik düzensizlikler görülebilmektedir. Bu tür durumlarda yeterli teorik bilgi ve tecrübe öncülüğünde yapılacak müdahalelerle sorunsuz bir tedavi sürecine ulaşılacağı görüşündeyiz. Bu olgu sunumunda karotis arter stentlenmesi yapılan bir hastada, bradikardi ve asistol gelişimi anlatılarak, hastaya uygulanan hayat kurtarıcı tedavi yaklaşımı bildirilmektedir.

Bradiyacardia and asistole during carotid artery stenting

Carotid artery stenosis is a major risk factor for cerebrovascular diseases. Carotid artery stenting is already become on routine clinical practice. In the perioperative period of stenting life-threating hemodynamic disorders become noticeable. In such circumtances, optimal treatment outcomes will be achieved only with adequate theorotical and practical background. We report a case of developing bradycardia and asistole in patient undergoing a carotid artery stenting protocole. Also we report the life-saving treatment strategy.

Kaynakça

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