PT - JOURNAL ARTICLE AU - Hugh Stephen Winters AU - Craig Anderson AU - Geoff Parker TI - Prolonged hypotension following elective stenting of an internal carotid artery stenosis AID - 10.1136/neurintsurg-2013-011016.rep DP - 2015 Jan 01 TA - Journal of NeuroInterventional Surgery PG - e4--e4 VI - 7 IP - 1 4099 - http://jnis.bmj.com/content/7/1/e4.short 4100 - http://jnis.bmj.com/content/7/1/e4.full SO - J NeuroIntervent Surg2015 Jan 01; 7 AB - We report a case of a 72-year-old man who had undergone elective stenting of an asymptomatic high grade stenosis of the proximal left internal carotid artery. The indication was progression of the stenosis over a 3 year period despite receiving maximal medical therapy, and patient preference for stenting over endarterectomy. He became profoundly hypotensive in the immediate post-stent period and required immediate and prolonged vasopressor support over the next week. The etiological hypothesis is baroreceptor hyperactivity related to procedure induced unilateral stretching of the carotid body.