scholarly journals Running, ischaemic stroke and carotid artery dissection

QJM ◽  
2015 ◽  
Vol 108 (12) ◽  
pp. 973-974 ◽  
Author(s):  
N.R. Evans ◽  
V. Harper ◽  
D.J. Scoffings ◽  
E.A. Warburton
Keyword(s):  
Carotid Artery ◽  
Ischaemic Stroke ◽  
Carotid Artery Dissection ◽  
Artery Dissection

scholarly journals Intentional subintimal carotid stenting of internal carotid dissection in a patient with acute ischaemic stroke

2016 ◽  
Vol 23 (1) ◽  
pp. 69-72 ◽  
Author(s):  
Nicola Limbucci ◽  
Sergio Nappini ◽  
Andrea Rosi ◽  
Leonardo Renieri ◽  
Arturo Consoli ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Ischaemic Stroke ◽  
Acute Ischaemic Stroke ◽  
Internal Carotid ◽  
Carotid Stenting ◽  
Carotid Artery Dissection ◽  
Artery Dissection ◽  
Carotid Dissection ◽  
Clinical Recovery ◽  
Intracranial Embolism

Carotid artery dissection is a common cause of juvenile stroke. Endovascular treatment of acute stroke due to carotid dissection can be challenging, and endoluminal crossing of the dissection is sometimes impossible. We describe a case of intentional subintimal recanalisation of a cervical carotid dissection followed by intracranial thrombectomy and stenting. We report the case of a young woman with severe acute ischaemic stroke due to carotid artery dissection and intracranial embolism. After failure of endoluminal crossing of the dissected segment, intentional subintimal crossing with re-entry distally to the dissection was achieved and a stent was deployed. Then, middle cerebral artery thrombectomy was performed achieving good recanalisation. Acute thrombus formed in the bulged segment of the carotid stent and was managed with additional stent placement. The patient had a good clinical recovery. In selected cases, after failure of conventional techniques, subintimal recanalisation of carotid dissections may be performed.

scholarly journals Ischaemic stroke caused by spontaneous unilateral carotid artery dissection in patient with connective tissue disorder

2021 ◽  
Vol 21 (1) ◽  
pp. 41-46
Author(s):  
Weronika Pużyńska ◽  
◽  
Anna Mirończuk ◽  
Katarzyna Kapica-Topczewska ◽  
Adam Łukasiewicz ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Connective Tissue ◽  
Ischaemic Stroke ◽  
Young Patients ◽  
Carotid Artery Dissection ◽  
Artery Dissection ◽  
Left Internal Carotid Artery ◽  
Cervical Artery Dissection ◽  
Connective Tissue Disorders ◽  
Ehlers Danlos Syndrome

Background: Spontaneous cervical artery dissection is a major cause of ischaemic stroke in young patients. It is supposed that genetic variants associated with connective tissue disorders often lead to neurovascular complications, the management of which remains a challenge. Case presentation: A 30-year-old female was admitted to the Department of Neurology with an episode of visual disturbances, speech problems, and concomitant headache. Computed tomography angiography revealed left internal carotid artery dissection. Magnetic resonance of the brain showed cortical and subcortical acute ischaemic lesions in the left cerebral hemisphere. The patient was diagnosed with vascular Ehlers–Danlos syndrome based on the clinical course of the disease. Conservative treatment was administered with full neurological recovery. Conclusion: It is very important for clinicians to consider the coexistence of genetically determined connective tissue disorders in young patients who develop arterial dissections.

Ischaemic stroke due to traumatic carotid artery dissection

1999 ◽  
Vol 29 (3) ◽  
pp. 223-223
Author(s):  
Imre Velkey ◽  
Bela Lombay ◽  
Zoltan Harkanyi
Keyword(s):  
Carotid Artery ◽  
Ischaemic Stroke ◽  
Carotid Artery Dissection ◽  
Artery Dissection

scholarly journals Flow-diverter reconstruction of an intracranial internal carotid artery dissection during thrombectomy for acute ischaemic stroke

2020 ◽  
Vol 13 (1) ◽  
pp. e231612
Author(s):  
Laura Ludovica Gramegna ◽  
Analía Cardozo ◽  
Edgar Folleco ◽  
Alejandro Tomasello
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Ischaemic Stroke ◽  
Acute Ischaemic Stroke ◽  
Internal Carotid ◽  
Flow Diverter ◽  
Carotid Artery Dissection ◽  
Artery Dissection ◽  
Internal Carotid Artery Dissection ◽  
Flow Diverter Stent

Intracranial carotid artery dissections are challenging, as there are no specific guidelines for their treatment, and most research suggests solutions for treating those involving extracranial vessels. We describe a patient with an acute ischaemic stroke within the territory of the right internal carotid artery, who was found to have intracranial carotid artery dissection during the thrombectomy procedure. The dissected lumen was successfully reconstructed via deployment of a Derivo flow-diverter stent. A balloon-assisted ‘jacking’ manoeuvre, in which a balloon is partially inflated at the beginning of the dissection to serve as leverage, was used to overcome the challenge of navigating the microcatheter tip through the stenosis proximal to the dissection. This case demonstrates the feasibly and safety of stenting with a flow diverter in a patient with internal carotid artery dissection; however, further studies are needed to confirm this finding.

scholarly journals A young pregnant woman with spontaneous carotid artery dissection--unknown mechanisms

2014 ◽  
Vol 2014 (may30 2) ◽  
pp. bcr2013202541-bcr2013202541 ◽  
Author(s):  
I. Mohammed ◽  
M. Aaland ◽  
N. Khan ◽  
I. Crossley
Keyword(s):  
Pregnant Woman ◽  
Carotid Artery ◽  
Carotid Artery Dissection ◽  
Artery Dissection

scholarly journals Distal Cervical Carotid Artery Dissection after Carotid Endarterectomy: A Complication of Indwelling Shunt

2010 ◽  
Vol 2010 ◽  
pp. 1-2 ◽  
Author(s):  
Tomonori Tamaki ◽  
Node Yoji ◽  
Norihiro Saito
Keyword(s):  
Carotid Artery ◽  
Carotid Endarterectomy ◽  
Rare Case ◽  
Internal Carotid ◽  
Carotid Artery Dissection ◽  
Artery Dissection ◽  
Internal Carotid Artery Dissection ◽  
Surgical Methods ◽  
Distal Internal Carotid Artery ◽  
Technical Factors

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.

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