Emergent Endovascular Treatment of a Spontaneous Internal Carotid Artery Dissection with Pseudoaneurysm

2003 ◽  
Vol 10 (3) ◽  
pp. 643-646 ◽  
Author(s):  
Albert Tseng ◽  
Venkatesh Ramaiah ◽  
Julio A. Rodriguez-Lopez ◽  
Paul E. Perkowshi ◽  
Peter B. Del Santo ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Endovascular Treatment ◽  
Internal Carotid ◽  
Common Femoral Artery ◽  
Carotid Artery Dissection ◽  
Coronary Stent ◽  
Artery Dissection ◽  
Pseudoaneurysm Formation ◽  
The Right

Purpose: To report the use of a coronary stent-graft for the endovascular treatment of a spontaneous internal carotid artery (ICA) dissection complicated by a large pseudoaneurysm. Case Report: A 68-year-old man presented to an outside hospital with complaints of headache, severe left-sided neck pain, fever, chills, and vomiting. Contrast-enhanced computed tomography revealed a large (3.5×3 cm) extracranial aneurysm of the left ICA. The patient was emergently transferred to our facility for endovascular treatment of the carotid aneurysm. Via a percutaneous access in the right common femoral artery, 2 Jostent coronary stent-grafts were deployed across the aneurysm with no evidence of a residual pseudoaneurysm. The patient was hemodynamically stable throughout the procedure. Duplex examination at 9 months revealed no evidence of a residual pseudoaneurysm, dissection, or endoleak. Conclusions: Covered coronary stents may have a role in the treatment of spontaneous ICA dissection with pseudoaneurysm formation.

scholarly journals Internal Carotid Artery Dissection during Puerperium: A Case Report

2021 ◽  
Author(s):  
Leonardo de Sousa Bernardes ◽  
Raphael Palomo Barreira ◽  
Marina Trombin Marques ◽  
Danyelle Sadala Reges ◽  
Vivian Dias Baptista Gagliardi ◽  
...  
Keyword(s):  
Case Report ◽  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Neck Pain ◽  
Cerebral Artery ◽  
Internal Carotid ◽  
Carotid Artery Dissection ◽  
Artery Dissection ◽  
Internal Carotid Artery Dissection ◽  
The Right

Background: Carotid or vertebral artery dissection is a rare puerperium event, occurring in less than 6% of cases. Although physiopathology is not completely understood, it is probably multifactorial involving increased cardiac output, hypervolemia and hormonal changes remodeling endothelium and favoring dissection. Most patients present headache and neck pain, but it is also reported Horner syndrome, tinnitus, retroorbital pain and cranial nerve palsies. Case Report: Female, 39-year-old patient in the 20th day of puerperium presents a sudden headache with transitory left hemiparesis and dysarthria for 30 minutes. Magnetic Resonance Imaging (MRI) with angioresonance revealed an area of right middle cerebral artery (MCA) infarction and right internal carotid artery dissection in the cervical segment with a large intraluminal thrombus. The diagnosis was stablished as ischemic stroke caused by carotid dissection. Transcranial doppler presented post stenotic flow in the right MCA, flow inversion in the right anterior cerebral artery (ACA) and ipsilateral collateral circulation of the external carotid artery. After two months on double antiplatelet treatment (apirin 100mg and clopidogrel 75mg), it was partially recanalized and there was improvement in the collateral and hemodynamic pattern. Conclusion: Puerperium pacients describing intense headache or neck pain should be investigated with MRI and angioresonance of intracranial and cervical vessels. In the cervical arterial dissection it is recommended double antiplatelet therapy, for three to six months.

Emergent Endovascular Treatment of a Spontaneous Internal Carotid Artery Dissection With Pseudoaneurysm

2003 ◽  
Vol 10 (3) ◽  
pp. 643-646 ◽  
Author(s):  
Albert Tseng ◽  
Venkatesh Ramaiah ◽  
Julio A. Rodriguez-Lopez ◽  
Paul E. Perkowshi ◽  
Peter B. Del Santo ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Endovascular Treatment ◽  
Internal Carotid ◽  
Carotid Artery Dissection ◽  
Artery Dissection ◽  
Internal Carotid Artery Dissection

scholarly journals Internal carotid artery dissection in a patient with recent respiratory infection: case report of a possible link

2005 ◽  
Vol 63 (2b) ◽  
pp. 523-526 ◽  
Author(s):  
Cynthia Resende Campos ◽  
Thiago Gasperini Bassi ◽  
Fabiano Pinto ◽  
Demétrius Kasak P. Abrahão
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Respiratory Infection ◽  
Internal Carotid ◽  
Causal Link ◽  
Carotid Artery Dissection ◽  
Artery Dissection ◽  
Cervical Artery Dissection ◽  
Internal Carotid Artery Dissection ◽  
The Right

The pathogenesis of spontaneous cervical artery dissection remains unknown. Infection-mediated damage of the arterial wall may be an important triggering mechanism. We describe a 21 year-old man with respiratory infection (bronchial pneumonia) which was diagnosed and treated with antibiotic few days prior to the right internal carotid artery dissection. The patient presented ischemic retinal and cerebral strokes. Based on literature review, we discuss the possibility of a causal link between infection and arterial dissection.

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