Prolonged Hemodynamic Instability with Hypotension and Bradycardia Following Carotid Artery Stenting: A Case Report

Introduction: Carotid artery stenting (CAS) is a commonly performed procedure for the treatment of carotid artery stenosis. However, the occurrence of prolonged hemodynamic instability, characterized by hypotension and bradycardia, can present challenges during and after CAS. Interestingly, this phenomenon does not seem to be related to the patients' underlying cardiac conditions but may be more prevalent in elderly women. Case Presentation: In this case report, we describe the clinical case of a 60-year-old male patient with a history of multiple cardiac conditions who encountered prolonged bradycardia and hypotension following CAS. The management approach focused on continuous monitoring and prompt intervention to stabilize the vital signs. Conclusion: By enhancing our understanding of these complications and associated risk factors, healthcare providers can develop safer and more effective treatment strategies for patients undergoing CAS for carotid artery stenosis. This knowledge will contribute to improved patient care and better outcomes in this particular clinical setting.