Carotid artery dissection: Endovascular treatment. Report of 12 patients

Fava, Mario; Meneses, Luis; Loyola, Soledad; Tevah, José; Bertoni, Hernán G.; Huete, Isidro; Mellado, Patricio

doi:10.1002/ccd.21483

Cited by 44 publications

(26 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…[8][9][10][11] Surgery is typically reserved for complications, including severe symptomatic stenoses or recurrent emboli, however, it carries risks of early occlusion, stroke, and cranial nerve injuries. 12 While endovascular treatment modalities appear to be safe, [13][14][15] it is unclear whether routine treatment provides any advantage to medical therapy alone.…”

mentioning

confidence: 99%

Long-term outcomes of internal carotid artery dissection

Rao

Makaroun

Marone

et al. 2011

Journal of Vascular Surgery

View full text Add to dashboard Cite

show abstract

mentioning

confidence: 99%

Long-term outcomes of internal carotid artery dissection

Rao

Makaroun

Marone

et al. 2011

Journal of Vascular Surgery

View full text Add to dashboard Cite

show abstract

“…Antithrombotic treatment with anticoagulatives or antiplatelets is effective for selected patients. However, in some patients, medical therapy is inadequate [14,20,24,27,32,33]. In our study, we indicated that endovascular intervention may be a new treatment option.…”

Section: Discussionmentioning

confidence: 77%

A Systematic Review of Endovascular Management of Internal Carotid Artery Dissections

Huang

Zhou²

2012

Intervent Neurol

View full text Add to dashboard Cite

Background: We conducted a review of the safety and outcomes of endovascular intervention in patients with internal carotid artery dissection (ICAD). Summary: A literature review was performed. PubMed and Medline databases were searched from inception to September 2012 with the key words ‘carotid artery' (title), ‘dissection' (title) and ‘endovascular' (title/abstract). All studies were included which reported outcomes of endovascular intervention in ICAD and provided information about technical and clinical results. After screening, we included 23 articles. In total, 201 patients (128 male and 73 female) were included in the eligible studies. The mean age was 46.7 years (range 13-83 years). Of the 201 patients, the causes of the carotid dissections were traumatic in 69 (34.3%), spontaneous in 115 (57.2%) and iatrogenic in 17 (8.5%). The technical success rate was 99.1%. The overall rate of major cardiovascular events in the perioperative period was 4%. No procedure-related deaths occurred. Imaging follow-up data (mean follow-up time 16.5 months) demonstrated that only 3.3% of patients had intimal hyperplasia or in-stent restenosis or occlusion of a treated vessel. Clinical follow-up data (mean follow-up period 20.9 months) showed that only 2.1% of patients had a recurrent transient ischemic attack in the territory of the treated vessel. Key Messages: Endovascular intervention with stenting or stent-graft-supported angioplasty in selected patients with ICAD is promising. However, further evaluation is warranted to provide more evidence to support the feasibility of endovascular procedures in treating ICAD.

show abstract

“…El pronóstico, depende de la topografía y extensión de la lesión cerebral más que del proceso arterial específico (5,14).…”

Section: Discussionunclassified

Disección traumática de la arteria carótida interna y embolismo cerebral en un jugador de fútbol. Reporte del primer caso.

et al. 2012

View full text Add to dashboard Cite

RESUMENReportamos el caso de un varón de 18 años quien sufrió contusión cervical por impacto con balón de fútbol. Tres días después fue hospitalizado con hemiplejia derecha directa y afasia de expresión. La resonancia magnética cerebral mostró lesión isquémica izquierda en ganglios basales. El doppler carotideo evidenció trombo desde el origen de la arteria carótida común izquierda extendida a la arteria carótida interna izquierda (CII) y la angiotomografía documentó disección de CII (lesión traumática carotídea tipo IV). Se optó por anticoagulación con warfarina y fisioterapia de rehabilitación; con evolución favorable. La incidencia de la injuria traumática carotídea es muy rara, más aún en futbolistas; el tratamiento es aún controversial, por lo que consideramos de interés el reporte de este caso. PALABRAS CLAVE: Traumatismos de la arteria carótida, infarto cerebral, fútbol. (Fuente: DeCS, BIREME) SUMMARYWe report the case of an 18-year-old male patient who suffered cervical trauma with a soccer ball. He presented three days after with right hemiparesis and expressive aphasia. The magnetic resonance image showed an ischemic lesion on the left basal ganglia area. The Doppler ultrasound revealed a thrombus extending from the left common carotid artery to the left internal carotid artery, and the angio-computed tomographic scan revealed a dissection of the left internal carotid artery (carotid lesion type IV). Anticoagulation with warfarin and physiotherapy were started with good clinical evolution. The traumatic injury of the carotid artery is very rare. Treatment is controversial, so we consider interest report of this case.

show abstract

Carotid artery dissection: Endovascular treatment. Report of 12 patients

Abstract: Our results showed an excellent clinical outcome of the treated patients. This suggests promising results with the use of endovascular treatment in selected patients.

Cited by 44 publications

References 28 publications

Long-term outcomes of internal carotid artery dissection

Long-term outcomes of internal carotid artery dissection

A Systematic Review of Endovascular Management of Internal Carotid Artery Dissections

Disección traumática de la arteria carótida interna y embolismo cerebral en un jugador de fútbol. Reporte del primer caso.

Contact Info

Product

Resources

About