Dissection Internal Carotid Artery

The splitting of the vessel wall in one or both (left and right) internal carotid arteries (CAROTID ARTERY, INTERNAL). Interstitial hemorrhage into the media of the vessel wall can lead to occlusion of the internal carotid artery and aneurysm formation.

Also Known As:

Networked: 56 relevant articles (3 outcomes, 2 trials/studies)

Relationship Network

Disease Context: Research Results

Related Diseases

1.	Middle Cerebral Artery Infarction (Middle Cerebral Artery Syndrome)
2.	Stroke (Strokes)
3.	Vertebral Artery Dissection
4.	Hematoma
5.	Headache (Headaches)

Experts

1.	Baumgartner, Ralf W: 2 articles (02/2008 - 02/2008)
2.	Engelter, S: 2 articles (01/2003 - 01/2000)
3.	Lyrer, P: 2 articles (01/2003 - 01/2000)
4.	Perek, Bartłomiej: 1 article (12/2015)
5.	Wąsik, Norbert: 1 article (12/2015)
6.	Juszkat, Robert: 1 article (12/2015)
7.	Tomczyk, Tomasz: 1 article (12/2015)
8.	Liebert, Włodzimierz: 1 article (12/2015)
9.	Stanisławska, Katarzyna: 1 article (12/2015)
10.	Wronka, Jarosław: 1 article (12/2015)

Drugs and Biologics

Drugs and Important Biological Agents (IBA) related to Dissection Internal Carotid Artery:

1.	Platelet Aggregation Inhibitors (Antiplatelet Drugs)IBA 01/01/2003 - "To determine whether antithrombotic drugs (antiplatelet drugs, anticoagulation) are effective and safe in the treatment of patients with extracranial internal carotid artery dissection, and which is the better treatment. " 01/01/2000 - "To determine whether antithrombotic drugs (antiplatelet drugs, anticoagulation) are effective and safe in treatment of patients with extracranial internal carotid artery dissection, and which is the better treatment. " 01/01/2010 - "There were no randomised trials comparing either anticoagulants or antiplatelet drugs with control, thus there is no evidence to support their routine use for the treatment of extracranial internal carotid artery dissection. " 01/01/2010 - "Randomised controlled trials, controlled clinical trials and non-randomised studies (if they reported on outcome stratified by antithrombotic treatment and included at least four patients) of anticoagulants or antiplatelet agents for the treatment of extracranial internal carotid artery dissection. "
2.	AnticoagulantsIBA 01/01/2003 - "Randomised controlled trials, controlled clinical trials assessing the efficacy of anticoagulants or antiplatelets for the treatment of extracranial internal carotid artery dissection, and non-randomised trials, e.g. " 01/01/2003 - "Anticoagulants or antiplatelets may prevent arterial thrombosis in extracranial internal carotid artery dissection, but these benefits may be offset by increased bleeding. " 01/01/2010 - "There were no randomised trials comparing either anticoagulants or antiplatelet drugs with control, thus there is no evidence to support their routine use for the treatment of extracranial internal carotid artery dissection. " 01/01/2010 - "Randomised controlled trials, controlled clinical trials and non-randomised studies (if they reported on outcome stratified by antithrombotic treatment and included at least four patients) of anticoagulants or antiplatelet agents for the treatment of extracranial internal carotid artery dissection. "
3.	glucuronyl glucosamine glycan sulfate (Vessel)IBA 12/01/2005 - "MRI and MR-angiography demonstrated a right-sided internal carotid artery dissection with segmental loss of flow-signal and a mural haematoma in the vessel wall. " 02/01/2008 - "Diffusion-weighted imaging in stroke attributable to internal carotid artery dissection: the significance of vessel patency." 01/01/2004 - "Changes in vessel stenosis due to internal carotid artery dissection during anticoagulant treatment." 10/01/1999 - "Fat suppressed T1-weighted images are superior in showing vessel wall hematoma and should thus be used in the standard MR-protocol for spontaneous internal carotid artery dissection." 10/01/1999 - "Magnetic resonance imaging documented a left intracranial vertebral artery occlusive dissection associated with an ipsilateral internal carotid artery dissection with vessel stenosis in its prepetrous tract. "
4.	Retinaldehyde (Retinal)IBA 05/01/1998 - "The differential diagnosis of retinal arterial occlusion in a young healthy adult without any notable ocular or medical history, including trauma, should include spontaneous internal carotid artery dissection." 02/22/2006 - "Internal carotid artery dissection typically manifests as an unilateral facial or latero-cervical pain, is often accompanied by an oculosympathetic palsy (myosis and palpebral ptosis) and may be followed by cerebral or retinal ischemia. "
5.	Heparin (Liquaemin)FDA LinkGeneric 01/01/2004 - "Delayed occlusion after internal carotid artery dissection under heparin." 01/01/2001 - "The authors were able to demonstrate a decline of MES with heparin anticoagulation in a case of internal carotid artery dissection." 01/01/2001 - "The authors here present a case of internal carotid artery dissection in which we detected a reduction of MES after the initiation of intravenous heparin. "
6.	GadoliniumIBA 08/08/2006 - "Extracranial internal carotid artery dissection with unusual gadolinium enhancement." 02/01/2006 - "A cervical MRI with gadolinium enhancement revealed an intramural hematoma is compatible with right extracranial internal carotid artery dissection. "
7.	Cocaine (Cocaine HCl)IBA 07/01/2015 - "[Internal carotid artery dissection following cocaine use]." 09/01/2013 - "Cocaine testing confirmed the clinical diagnosis, and urgent neuroimaging found an internal carotid artery dissection. "
8.	Collagen Type III (Type III Collagen)IBA 04/01/1990 - "We describe two patients with cerebrovascular complications of Ehlers-Danlos syndrome type IV. A 16-year-old girl with spontaneous internal carotid artery dissection and a 46-year-old woman with aneurysmal subarachnoid hemorrhage and multiple aortic dissections were both deficient in collagen type III, analyzed in cultured skin fibroblasts. "
9.	Verapamil (Calan)FDA LinkGeneric 03/01/2008 - "Cluster-like headaches associated with internal carotid artery dissection responsive to verapamil."
10.	Tissue Plasminogen Activator (Alteplase)FDA Link 08/01/2007 - "We compared clinical outcomes in consecutive patients presenting with tandem internal carotid and middle cerebral artery occlusion with internal carotid artery dissection within 3 hours of symptom onset who were eligible for intravenous thrombolysis, treated by either endovascular stent-assisted thrombolysis or intravenous recombinant tissue-type plasminogen activator (rtPA) when an endovascular therapist was unavailable. "

Therapies and Procedures

1.	Stents 12/01/2015 - "Extracranial Internal Carotid Artery Dissection Treated with Self-expandable Stents: A Single-Centre Experience." 11/01/2012 - "Transoral carotid ultrasonography using a micro convex probe was helpful to attempt a self-expanding stent for recanalizing right extracranial internal carotid artery dissection. " 10/01/2012 - "Treatment of ruptured intra-cranial internal carotid artery dissection using a flow-diverter stent." 09/01/2010 - "Emergent self-expanding stent placement for acute intracranial or extracranial internal carotid artery dissection with significant hemodynamic insufficiency." 07/01/2007 - "After carefully engaging the carotid ostia with a modified no-touch technique, a self-expandable stent and a balloon-expandable stent were deployed to seal the left common and internal carotid artery dissection, whereas two self-expandable stents were implanted within the right internal carotid artery. "
2.	Carotid Endarterectomy 01/01/2010 - "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." 01/01/1993 - "A patient who had recently undergone carotid endarterectomy was found to have internal carotid artery dissection on an MRI examination. " 02/01/2013 - "We report a case of internal carotid artery dissection and pseuedoaneurysm due to the technical failure of a safety device of an intraarterial shunt used during carotid endarterectomy."
3.	Chiropractic Manipulation 01/01/2003 - "Association of internal carotid artery dissection and chiropractic manipulation." 08/01/1999 - "We analyzed the clinical course and neuroradiological findings of ten patients aged 27-46 years, with ischemic stroke secondary to vertebral artery dissection (VAD; n = 8) or internal carotid artery dissection (CAD; n = 2), all following chiropractic manipulation of the cervical spine. "
4.	Angioplasty (Angioplasty, Transluminal) 03/01/2009 - "Resolution of mydriatic pupil after angioplasty and stenting of cervical internal carotid artery dissection: case report." 08/01/2007 - "Recanalization of internal carotid artery dissection by stent-assisted angioplasty has recently been proposed when anticoagulation fails to prevent a new ischemic event. "
5.	Catheters 01/01/2001 - "Catheter angiography confirmed a right internal carotid artery dissection with intracranial extension. "