Treatment via oral midodrine in a patient with prolonged hypotension following carotid artery stenting: a case report.
Carotid artery stenosis
Carotid artery stenting
Case report
Hypotension
Midodrine
Journal
Journal of medical case reports
ISSN: 1752-1947
Titre abrégé: J Med Case Rep
Pays: England
ID NLM: 101293382
Informations de publication
Date de publication:
09 Feb 2022
09 Feb 2022
Historique:
received:
21
05
2021
accepted:
13
01
2022
entrez:
9
2
2022
pubmed:
10
2
2022
medline:
11
2
2022
Statut:
epublish
Résumé
Hypotension and bradycardia are common hemodynamic complications following carotid artery stenting in patients with carotid artery stenosis. Intravenous fluid resuscitation and inotropes such as dopamine are conventional treatments for post-carotid artery stenting hypotension. However, in case of resistant hypotension, there is no clear treatment method. In this report, while intravenous fluid and inotropes did not resolve the patient's hypotension, oral midodrine treated post-carotid artery stenting hypotension. In this report, we present an 82-year-old Caucasian man complaining of a single episode of unilateral visual loss. The patient had left internal carotid artery stenosis and underwent carotid artery stenting. After the procedure, he developed prolonged post-carotid artery stenting hypotension, which was resistant to intravenous fluids and inotropes but immediately showed a promising response to oral midodrine. Oral midodrine can be considered in treatment of post-carotid artery stenting hemodynamic complications.
Sections du résumé
BACKGROUND
BACKGROUND
Hypotension and bradycardia are common hemodynamic complications following carotid artery stenting in patients with carotid artery stenosis. Intravenous fluid resuscitation and inotropes such as dopamine are conventional treatments for post-carotid artery stenting hypotension. However, in case of resistant hypotension, there is no clear treatment method. In this report, while intravenous fluid and inotropes did not resolve the patient's hypotension, oral midodrine treated post-carotid artery stenting hypotension.
CASE PRESENTATION
METHODS
In this report, we present an 82-year-old Caucasian man complaining of a single episode of unilateral visual loss. The patient had left internal carotid artery stenosis and underwent carotid artery stenting. After the procedure, he developed prolonged post-carotid artery stenting hypotension, which was resistant to intravenous fluids and inotropes but immediately showed a promising response to oral midodrine.
CONCLUSION
CONCLUSIONS
Oral midodrine can be considered in treatment of post-carotid artery stenting hemodynamic complications.
Identifiants
pubmed: 35135599
doi: 10.1186/s13256-022-03270-5
pii: 10.1186/s13256-022-03270-5
pmc: PMC8826674
doi:
Substances chimiques
Midodrine
6YE7PBM15H
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
67Informations de copyright
© 2022. The Author(s).
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