Complications - Percutaneous transluminal angioplasty and stenting of the right internal carotid artery in recurrent stenosis– Vascular surgery

  1. Intraoperative complications

    Access problems

    • If inguinal puncture not possible -> switch to opposite side; if this too fails -> continue with contralateral arm

    Stent misplacement

    • Overstenting or converting to open surgery, depending on the specific situation.

    Carotid dissection

    • Extend stenting

    Carotid occlusion

    • Emergency conversion to open surgery

    Vascular spasms

    • Triggered by intraoperative manipulations or guidewire movements
    • Usually transient, but may also result in intermittent occlusion of the vessel with secondary stasis and thrombus formation
Postoperative complications

Hematoma, secondary bleeding from puncture siteApply adequate external / manual compression; compre

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