open access
Early endovascular stenting for extracranial carotid artery dissection with angiographic flow stasis: A series of four cases
Affiliations- Department of Neurosurgery, Kobe University Graduate School of Medicine, Kobe, Japan
- Department of Neurosurgery, Akashi City Hospital, Akashi, Japan
open access
Abstract
Extracranial carotid artery dissection is a major cause of ischemic stroke in young patients. Progressive stroke or recurrent ischemic symptoms may occur despite adequate medical treatment. Our treatment policy for these conditions is based on the fact that immediate vascular reconstruction is necessary in the cases with angiographic flow stasis in the true lumen beyond the dissection site. We report our experiences with four consecutive extracranial carotid artery dissections successfully treated with early endovascular stenting and discuss the indication of this treatment with a special emphasis on the angiographic findings.
Abstract
Extracranial carotid artery dissection is a major cause of ischemic stroke in young patients. Progressive stroke or recurrent ischemic symptoms may occur despite adequate medical treatment. Our treatment policy for these conditions is based on the fact that immediate vascular reconstruction is necessary in the cases with angiographic flow stasis in the true lumen beyond the dissection site. We report our experiences with four consecutive extracranial carotid artery dissections successfully treated with early endovascular stenting and discuss the indication of this treatment with a special emphasis on the angiographic findings.
Keywords
Extracranial carotid artery dissection, Endovascular stenting, Angiographic flow stasis
About this articleTitle
Early endovascular stenting for extracranial carotid artery dissection with angiographic flow stasis: A series of four cases
Journal
Neurologia i Neurochirurgia Polska
Issue
Pages
525-530
Page views
322
Article views/downloads
580
DOI
10.1016/j.pjnns.2017.08.008
Bibliographic record
Neurol Neurochir Pol 2017;51(6):525-530.
Keywords
Extracranial carotid artery dissection
Endovascular stenting
Angiographic flow stasis
Authors
Masaaki Kohta
Atsushi Fujita
Minoru Saitoh
Kohkichi Hosoda
Eiji Kohmura
