Blunt Cerebrovascular Trauma: Distal Internal Carotid Dissection

2009 ◽  
Vol 67 (5) ◽  
pp. 1127
Author(s):  
Linda L. Maerz ◽  
Jamal Bokhari ◽  
Lewis J. Kaplan
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.


2013 ◽  
Vol 2013 (jun11 1) ◽  
pp. bcr2013009878-bcr2013009878 ◽  
Author(s):  
O. Sveinsson ◽  
N. Kostulas ◽  
L. Herrman

2010 ◽  
Vol 38 (7) ◽  
pp. 529-533 ◽  
Author(s):  
Erik Nout ◽  
Irene M.J. Mathijssen ◽  
Jacques J.N.M. van der Meulen ◽  
Marie-Lise C. van Veelen ◽  
Anton H.J. Koning ◽  
...  

2016 ◽  
Vol 23 (1) ◽  
pp. 69-72 ◽  
Author(s):  
Nicola Limbucci ◽  
Sergio Nappini ◽  
Andrea Rosi ◽  
Leonardo Renieri ◽  
Arturo Consoli ◽  
...  

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.


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