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Vojnosanitetski pregled
2019, vol. 76, br. 8, str. 834-838
jezik rada: engleski
vrsta rada: prikaz slučaja
doi:10.2298/VSP170910154R

Creative Commons License 4.0
Kako identifikovati rizik od nastanka sindroma cerebralne hiperperfuzije nakon procedura karotidne revaskularizacije
aCardiovascular Institute "Dedinje", Vascular Surgery Clinic, Belgrade + University of Belgrade, Faculty of Medicine, Belgrade
bUniverzitet u Beogradu, Medicinski fakultet, Institut za kardiovaskularne bolesti 'Dedinje'

e-adresa: dr_msevkovic@yahoo.com

Sažetak

(ne postoji na srpskom)
<Conclusion> CHS is a rare, but potentially deadly complication of brain revascularization procedures. Two key, interlinked and synergistic mechanisms play part in its occurrence - impaired cerebral autoregulation and the elevated BP after procedure. It is important to understand the complexity and multiple factors that contribute to the symptom appearance. Although different studies developed risk factors, the determination of subgroups of patients in danger of developing CHS after CAS or CEA is still not feasible. If not treated promptly and properly, CHS can lead to fatal ICH. The treatment strategies were developed towards regulating the BP, reducing brain swelling, and most importantly, limiting the extreme blood flow rising in the patients at potential risk.

Ključne reči

endarterektomija a.carotis; mozak, revaskularizacija; faktori rizika; hipertenzija; glavobolja, vaskularna; cerebrovaskularni poremećaji

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