TY - JOUR T1 - Prolonged hypotension following elective stenting of an internal carotid artery stenosis JF - Journal of NeuroInterventional Surgery JO - J NeuroIntervent Surg SP - e4 LP - e4 DO - 10.1136/neurintsurg-2013-011016.rep VL - 7 IS - 1 AU - Hugh Stephen Winters AU - Craig Anderson AU - Geoff Parker Y1 - 2015/01/01 UR - http://jnis.bmj.com/content/7/1/e4.abstract N2 - 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. ER -