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Abstract #1919

Longitudinal assessment of cerebral blood flow change following internal carotid artery revascularization for better prevention of Hyperperfusion syndrome

Yina Lan1, Jinhao Lyu1, Xiaoxiao Ma1, Jianxun Qu2, Lin Ma1, and Xin Lou1

1Radiology and Imaging, Chinese People’s Liberation Army (PLA) General Hospital, Beijing, China, 2General Electric Healthcare, Shang hai, China

Hyperperfusion syndrome (HPS) is a rare but potentially fatal postoperative complication deriving from carotid artery stenting (CAS) and endarterectomy (CEA), while the pattern of post-operation cerebral blood flow (CBF) changes relating to HPS remained unclear. We had used pseudo continuous arterial spin labeling (pCASL) to monitore 4 consecutive time points at 24h, 48h, 72h, and 96h after CEA and CAS in patients with internal carotid artery (ICA) stenosis. We had found that attention should be focused on 72 hours after CAS and 48 hours after CEA to control blood pressure and prevent potential HPS.

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