Traumatic Carotid Artery Dissection and Pseudoaneurysm Treated with Endovascular Coils and Stent

1997 ◽  
Vol 4 (4) ◽  
pp. 339-343 ◽  
Author(s):  
John H. Matsuura ◽  
David Rosenthal ◽  
Hilde Jerius ◽  
Michael D. Clark ◽  
David S. Owens
Keyword(s):  
Carotid Artery ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Carotid Artery Dissection ◽  
Artery Dissection ◽  
Carotid Dissection ◽  
Pseudoaneurysm Formation ◽  
Vehicle Accident ◽  
Detachable Coils ◽  
Base Of The Skull

Purpose: To report a case of post-traumatic internal carotid artery dissection and pseudoaneurysm formation at the C-1 level successfully treated by a percutaneous endovascular technique. Methods and Results: A 20-year-old female presented 72 hours after a motor vehicle accident with incomplete occulosympathetic paresis (Horner's syndrome), carotidynia, and left-sided weakness. Arteriography confirmed the diagnosis of carotid dissection and an associated 1.5-cm × 2.5-cm pseudoaneurysm at the C-1 level. Neuroradiologists embolized the pseudoaneurysm with Guglielmi detachable coils and controlled the dissection with placement of a Wallstent. Conclusions: This report illustrates successful percutaneous endovascular treatment of a carotid dissection and pseudoaneurysm near the base of the skull.

Traumatic carotid—cavernous fistula treated by combined transarterial and transvenous coil embolization and associated cavernous internal carotid artery dissection treated with stent placement

2003 ◽  
Vol 99 (3) ◽  
pp. 584-586 ◽  
Author(s):  
Süleyman Men ◽  
Halil Öztürk ◽  
Baki HekimoğLu ◽  
Zeki Şekerci
Keyword(s):  
Carotid Artery ◽  
Stent Placement ◽  
Coil Embolization ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Carotid Artery Dissection ◽  
Artery Dissection ◽  
Carotid Cavernous Fistula ◽  
Content Type ◽  
Cavernous Fistula

✓ The authors report on a case in which a carotid—cavernous fistula and an associated cavernous—carotid dissection developed in a 48-year-old man following a motor vehicle accident. The fistula was treated with coil embolization via a combined transarterial—transvenous approach. The dissected carotid artery segment was treated with a balloon-expandable stent, which restored normal caliber and hemispheric flow. There was no recurrence of the fistula and the postoperative wide patency of the carotid artery indicates that stent placement is an effective method of treating traumatic intracranial artery dissections.

Diagnosis and Management of Traumatic Pseudoaneurysm of the Carotid Artery: Case Report and Review of the Literature

Vascular ◽  
2008 ◽  
Vol 16 (6) ◽  
pp. 350-355 ◽  
Author(s):  
Deepa Magge ◽  
Alik Farber ◽  
Felix Vladimir ◽  
Jonathan Woodson ◽  
Kathryn Collins ◽  
...  
Keyword(s):  
Case Report ◽  
Carotid Artery ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Penetrating Trauma ◽  
Review Of The Literature ◽  
Pseudoaneurysm Formation ◽  
Diagnosis And Management ◽  
Vehicle Accident ◽  
Traumatic Pseudoaneurysm

Injury to the carotid artery can occur in the setting of blunt and penetrating trauma. Such injury can result in pseudoaneurysm formation. We present a case of posttraumatic common carotid pseudoaneurysm (PTCP) that was diagnosed and treated 2 months after a motor vehicle accident and review the literature on the presentation, diagnosis, and management of PTCP.

Arterial Flows in Carotid Artery Dissection

2007 ◽  
Author(s):  
Liang-Der Jou ◽  
Deok Hee Lee ◽  
Michel E. Mawad
Keyword(s):  
Subarachnoid Hemorrhage ◽  
Carotid Artery ◽  
Dissecting Aneurysm ◽  
Carotid Artery Dissection ◽  
Arterial Stenosis ◽  
Artery Dissection ◽  
Carotid Dissection ◽  
Middle Aged ◽  
Interventional Management

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.

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.

Carotid Dissection

2015 ◽  
Author(s):  
Efthymios D. Avgerinos ◽  
Peter Schneider ◽  
Rabih A. Chaer
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Endovascular Procedures ◽  
Internal Carotid ◽  
Carotid Artery Dissection ◽  
Artery Dissection ◽  
Carotid Dissection ◽  
Artery Wall ◽  
Ultrasound Findings ◽  
History Of

Carotid artery dissection refers to an intimal tear and eventually hematoma of the carotid artery wall. Although medical therapy is the mainstay of treatment, surgical or endovascular procedures may be indicated to address fluctuating neurologic deficit or expanding pseudoaneurysm. This review surveys the pathophysiology and natural history of carotid dissection and summarizes the results of recent trials and evolving therapeutic options. A table highlights factors predisposing to or potentially associated with carotid dissection. Figures include an illustration of the pathophysiology of internal carotid artery dissection (ICAD); angiograms revealing right internal carotid artery tapering stenosis to occlusion, right internal carotid artery carotid dissection, and distal left ICAD; ultrasound findings of ICAD; and an algorithm for the diagnosis and management of carotid dissection. This review contains 6 figures, 1 table, and 83 references.

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.

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