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Treatment of internal carotid artery dissections with endovascular stent placement: report of two cases.

Abstract
Extracranial carotid artery dissection may manifest as arterial stenosis or occlusion, or as dissecting aneurysm formation. Anticoagulation and/or antiplatelet therapy is the first-line treatment, but because it is effective and less invasive than other procedures, endovascular treatment of carotid artery dissection has recently attracted interest. We encountered two consecutive cases of trauma-related extracranial internal carotid artery dissection, one in the suprabulbar portion and one in the subpetrosal portion. We managed the patient with suprabulbar dissection using a self-expandable metallic stent and managed the patient with subpetrosal dissection using a balloon-expandable metallic stent. In both patients the dissecting aneurysm disappeared, and at follow-up improved luminal patency was observed.
AuthorsD H Lee, S H Hur, H G Kim, S M Jung, D S Ryu, M S Park
JournalKorean journal of radiology (Korean J Radiol) 2001 Jan-Mar Vol. 2 Issue 1 Pg. 52-6 ISSN: 1229-6929 [Print] Korea (South)
PMID11752969 (Publication Type: Case Reports, Journal Article)
Topics
  • Adult
  • Carotid Artery Injuries (complications)
  • Carotid Artery, Internal, Dissection (diagnostic imaging, etiology, therapy)
  • Cerebral Angiography
  • Humans
  • Male
  • Stents

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