# Fatal Intracerebral Hemorrhage Following Carotid Artery Stenting: A Case Report

## TL;DR

A case report shows a fatal brain bleed after carotid artery stenting, stressing the need for personalized treatment and early detection of complications.

## Contribution

Highlights a rare but severe complication of carotid artery stenting and emphasizes individualized treatment and early recognition of hyperperfusion syndrome.

## Key findings

- Fatal intracerebral hemorrhage occurred 18 days after stenting in a patient with recent cerebral infarction.
- Recurrent infarction within 1 year and new infarction before intervention increased surgical risk.
- Early recognition of postoperative hyperperfusion syndrome is critical for patient outcomes.

## Abstract

This case highlights the importance of individualized treatment decisions in patients with recently symptomatic carotid artery stenosis causing cerebral infarction, including recurrent events within 1 year and a new infarction occurring 18 days before intervention. It also emphasizes the need for early recognition and timely management of postoperative carotid hyper perfusion syndrome.