scholarly journals The “double carotid artery” sign: A rare case of spontaneous carotid dissection

2021 ◽  
Vol 9 (11) ◽  
Author(s):  
Chrysanthi P. Papageorgopoulou ◽  
Konstantinos. M. Nikolakopoulos ◽  
Spyros I. Papadoulas
2021 ◽  
pp. 153857442199293
Author(s):  
Constantinos Zarmakoupis ◽  
George Galyfos ◽  
Grigorios Tsoukalos ◽  
Panagiota Dalla ◽  
Alexandra Triantafyllou ◽  
...  

This report aims to present a rare case of a common carotid artery (CCA) pseudoaneurysm with a concomitant internal carotid artery (ICA) stenosis that were treated with a hybrid technique. This strategy included the retrograde placement of a CCA covered stent under ICA clamping followed by standardized carotid endarterectomy. The technique will be discussed and compared with other possible treatments.


2010 ◽  
Vol 2010 ◽  
pp. 1-2 ◽  
Author(s):  
Tomonori Tamaki ◽  
Node Yoji ◽  
Norihiro Saito

The technical factors and surgical methods employed in carotid endarterectomy are controversial. In particular, whether or not to use an indwelling arterial shunt during carotid endarterectomy remains a source of conflict. We describe a rare case in which uncomplicated carotid endarterectomy was followed by distal internal carotid artery dissection and suggest that this devastating complication was due to intimal damage produced by the use of an indwelling arterial shunt.


2003 ◽  
Vol 9 (3) ◽  
pp. 305-310 ◽  
Author(s):  
J. Sedat ◽  
M. Dib ◽  
J. Szapiro ◽  
P. Paquis

The stenting of carotid dissection has been described for the prevention of cerebral ischemia in patients who remain symptomatic despite therapeutic anticoagulation, in those who present contraindications for anticoagulation therapy, or who present a local or extensive stenosis, with an associated pseudoaneurysm. We here report a case associating a high clinical grade aneurysmal rupture with a bilateral extracranial carotid dissection. Because of the haemodynamic risk due to the acute bilateral stenosis-induced dissection and the occurrence of a vasospasm, the carotid dissections were treated with self-expendable stents.


Author(s):  
Liang-Der Jou ◽  
Deok Hee Lee ◽  
Michel E. Mawad

Dissection at the carotid artery is not infrequent, and it may lead to arterial stenosis, dissecting-aneurysm, ischemia stoke, or subarachnoid hemorrhage [2]. The exact cause of carotid artery dissection remains unknown, but it occurs often among young and middle-aged individuals who are otherwise healthy [3]. Extra-cranial carotid dissection is often managed conservatively by anti-thrombotic therapy, while the intracranial carotid dissection often requires interventional management.


2005 ◽  
Vol 63 (2a) ◽  
pp. 318-320 ◽  
Author(s):  
Lee A. Birnbaum ◽  
Richard Sherry ◽  
Edgard Pereira

Isolated intracranial fibromuscular dysplasia is rare and may present with cerebrovascular events. It should be considered as etiology of stroke in otherwise healthy young patients. Though diagnosis is often challenging, characteristic morphologies may be revealed on magnetic resonance and catheter angiography. Cephalocervical fibromuscular dysplasia typically involves the extracranial portion of the internal carotid artery (nearly 95%). This rare case demonstrates isolated intracranial fibromuscular dysplasia in a 19-year-old female with left caudate and genu of internal capsule stroke.


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