PMID: 8062350Apr 1, 1994Paper

Carotid pain during percutaneous angioplasty (PTA). Pathophysiology and clinical features

Cephalalgia : an International Journal of Headache
L M MunariM Porta

Abstract

Stretching of the internal carotid artery during percutaneous transluminal angioplasty (PTA) may be associated with transient neck, facial or cranial pain. We report a series of 53 cases who received PTA. Cervical pain occurred in 51% of patients, with a radiation to face and scalp in 33%. Analysis focused on: (a) description of pain intensity, quality, timing and location; (b) investigation about the role of individual and technical parameters that could influence the relative risk of pain onset during PTA; (c) comparison with other available data on pain syndromes related to the carotid artery. Intimal flapping on post-angioplasty angiograms, bradycardia during the procedure and previous history of AMI were associated with a higher risk of painful angioplasty. PTA may also serve as a tool to investigate carotid pain and may add further knowledge to the evidence available about the role of the carotid wall in the pathogenesis of facial and cranial pain.

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Citations

Feb 1, 1995·Journal of Endovascular Surgery : the Official Journal of the International Society for Endovascular Surgery·C PratesiD Bertini
Feb 1, 1996·Journal of Endovascular Surgery : the Official Journal of the International Society for Endovascular Surgery·R Kachel
May 5, 2009·The Journal of Orthopaedic and Sports Physical Therapy·Roger Kerry, Alan J Taylor
Sep 1, 1996·The British Journal of Surgery·C L McGuinness, K G Burnand
Jan 4, 2012·Headache·Eric P BaronMark J Stillman

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