Emergent Treatment of Iatrogenic Dissection of the Internal Carotid Artery with the Palmaz-Schatz Stent —Case Report—

Yamashita, K; Okamoto, Shinichiro; Kim, Choegon; Nakatsu, Shoji; Miyasaki, Akihiro; Hojo, Masato

doi:10.2176/nmc.37.336

Cited by 26 publications

(8 citation statements)

References 12 publications

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“…8 However, acute treatment of CAD has already been described in seven patients. [9][10][11][12][13] In five instances stents were placed at the time of an iatrogenic dissection. [9][10][11] The two remaining cases were acutely treated in the setting of worsening and fluctuating neurological symptoms.…”

Section: Discussionmentioning

confidence: 99%

“…[9][10][11][12][13] In five instances stents were placed at the time of an iatrogenic dissection. [9][10][11] The two remaining cases were acutely treated in the setting of worsening and fluctuating neurological symptoms. 12,13 As for the cases described in this study, there was no morbidity nor mortality after the procedure and all authors reported clinical improvement.…”

Section: Discussionmentioning

confidence: 99%

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Primary Stenting for the Acute Treatment of Carotid Artery Dissection

Rodriguez

Lemaire

Renard

et al. 2005

European Journal of Vascular and Endovascular Surgery

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Primary Stenting for the Acute Treatment of Carotid Artery Dissection

Rodriguez

Lemaire

Renard

et al. 2005

European Journal of Vascular and Endovascular Surgery

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“…8,15,24,25 The early success of stent placement for abdominal aortic aneurysms and other P. Jabbour, C. Koebbe, and R. Rosenwasser peripheral lesions like traumatic extracranial carotid artery dissections and pseudoaneurysms has been a valuable contribution to the development of intracranial stent delivery techniques. 4,14,16,27,32,35,37 There are still some difficulties and complications ranging from technical pitfalls to thromboembolic events that are encountered with the use of intracranial stents. …”

Section: Discussionmentioning

confidence: 99%

Stent-assisted coil placement for unruptured cerebral aneurysms

Jabbour¹,

Koebbe²,

Veznedaroglu³

et al. 2004

FOC

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Object The treatment of wide-necked cerebral aneurysms represents a challenging problem for neurosurgeons. The recent development of stents has provided clinicians with the ability to treat these aneurysms while keeping the parent vessel patent. The long-term occlusion rate of aneurysms treated with stent-assisted coil placement has yet to be investigated. The authors report the use of a new intracranial stent—the Neuroform microstent—in the treatment of unruptured wide-necked cerebral aneurysms. Methods Thirty-two patients harboring unruptured wide-necked intracranial aneurysms underwent a stent-assisted coil placement procedure. Patients were pretreated with antiplatelet agents, and a stent was positioned across the neck of the aneurysm. The next step was the insertion of coils into the aneurysm cavity. Patients received anticoagulation therapy for 24 hours after the procedure. All 32 patients with unruptured wide-necked cerebral aneurysms were suitable candidates for this procedure. Occlusion of at least 90% of the aneurysm was achieved in 24 patients (75%) and 0% occlusion was observed in five patients (15%). Two patients experienced thromboembolic events, one of which was directly related to the stent. The overall complication rate was 6.3%. Conclusions Intracranial stents will be used more frequently in the new era of endovascular management of wide-necked cerebral aneurysms. With some technical improvements and more data on long-term occlusion rates, this new modality should improve the occlusion of wide-necked cerebral aneurysms while protecting the parent vessel.

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“…19,57 In recent years, stenting has been increasingly used to treat traumatic dissections and pseudoaneurysms of the cervical carotid and vertebral arteries. 20,[58][59][60][61][62][63][64][65][66] This has proven to be a particularly useful strategy in patients with symptomatic dissections in whom anticoagulation may be contraindicated due to concurrent injuries, patients who become symptomatic despite adequate anticoagulation, and patients with pseudoaneurysms which are unlikely to heal even with anticoagulation. 15 At our institutions, patients are initially treated with heparin or antiplatelet therapy where feasible.…”

Section: Treatmentmentioning

confidence: 99%

Emergency Evaluation and Treatment of Injury to the Extracranial Carotid and Vertebral Arteries

Stallmeyer¹,

Zoarski²,

Gittleman³

et al. 2003

Semin intervent Radiol

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This article describes the evaluation and treatment of injuries to the carotid and vertebral arteries. The diagnosis of the injured vessels by clinical and imaging methods is described. A variety of treatments including the use of stents is given. KEYWORDS:Trauma, vertebral artery, carotid artery rotid injury of 1.11% among patients admitted with blunt trauma. Another study 21 identified 67 patients with 87 blunt carotid injuries over a period of 11 years, for a rate of 0.67% where motor vehicle collision was the mechanism of injury and a rate of 0.33% for other blunt trauma. Prall and colleagues 16 found an incidence of 3.5% when carotid arteriography was performed in patients undergoing aortogram for blunt traumatic injury. The corresponding reported incidence of vertebral artery injury due to blunt trauma is 0. 77%. 11,20 Downloaded by: Collections and Technical Services Department. Copyrighted material.

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Emergent Treatment of Iatrogenic Dissection of the Internal Carotid Artery with the Palmaz-Schatz Stent —Case Report—

Abstract: He has experienced no cerebral ischemic events since the treatment.

Cited by 26 publications

References 12 publications

Primary Stenting for the Acute Treatment of Carotid Artery Dissection

Primary Stenting for the Acute Treatment of Carotid Artery Dissection

Stent-assisted coil placement for unruptured cerebral aneurysms

Emergency Evaluation and Treatment of Injury to the Extracranial Carotid and Vertebral Arteries

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