Internal carotid artery dissection among younger and older patients with acute ischemic stroke

Amsalem, Yaaqov; Porat, Leah Ben; Javitt, Marcia C.; Sprecher, Elliot; Telman, Gregory

doi:10.1080/00207454.2017.1381607

Cited by 6 publications

(2 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Although CCA dissection is rare, it is nonetheless vital to rule out CCA dissection for all acute ischemic stroke patients, as carotid artery dissection is an independent causative factor for acute ischemic stroke [ 12 ]. There is no evidence-based treatment for CCA dissection.…”

Section: Discussionmentioning

confidence: 99%

Carotid artery stenting assisted with intravascular ultrasonography for isolated spontaneous common carotid artery dissection

Sanada

Wada

Sato

et al. 2021

Journal of Surgical Case Reports

View full text Add to dashboard Cite

Isolated spontaneous common carotid artery (CCA) dissection is extremely rare. Moreover, only a few case reports for isolated spontaneous CCA dissection treated with carotid artery stenting (CAS) can be found so far. Here, the authors report a case where intravascular ultrasonography (IVUS) provided valuable information about lesion evaluation, stent selection and stent placement during CAS for isolated CCA dissection. A 69-year-old male was diagnosed with an isolated spontaneous left CCA dissection. CAS assisted with IVUS was performed to prevent further dissection and cerebral infarction recurrence. To the best of our knowledge, this is the first case report of an isolated spontaneous CCA dissection treated with CAS assisted by IVUS. CAS assisted by IVUS may be an effective treatment option to prevent intraoperative complications and further stroke recurrence for isolated spontaneous CCA dissection.

show abstract

Section: Discussionmentioning

confidence: 99%

Carotid artery stenting assisted with intravascular ultrasonography for isolated spontaneous common carotid artery dissection

Sanada

Wada

Sato

et al. 2021

Journal of Surgical Case Reports

View full text Add to dashboard Cite

show abstract

“…Between 40 and 54 years of age, it may be found in the 31% of individuals . Carotid artery dissection is less common, accounting for the 5% of all AISs, whereas cardioaortic embolism is the cause of ICA occlusion in the 14–19% of cases …”

Section: Epidemiologymentioning

confidence: 99%

The Role of Neurosonology in the Diagnosis and Management of Patients with Carotid Artery Disease: A Review

Kargiotis

Safouris

Magoufis

et al. 2018

Journal of Neuroimaging

View full text Add to dashboard Cite

Carotid artery disease (CAD) is a common cause of ischemic stroke with high rates of recurrence. Carotid endarterectomy (CEA) or carotid artery stenting (CAS) are highly recommended for the secondary prevention of symptomatic CAD during the first 14 days following the index event of transient ischemic attack or minor stroke. CEA or CAS may also be offered in selected cases with severe asymptomatic stenosis. Herein, we review the utility of neurosonology in the diagnosis and pre-/peri-interventional assessment of CAD patients who undergo carotid revascularization procedures. Carotid ultrasound may provide invaluable information on plaque echogenicity, ulceration, risk of thrombosis, and rupture. Transcranial Doppler or transcranial color-coded sonography may further assist by mapping collateral circulation, evaluating the impairment of vasomotor reactivity, detecting microembolization, or reperfusion hemorrhage in real time. Neurosonology examinations are indispensable bedside tools assisting in the diagnosis, risk stratification, peri-interventional monitoring, and follow-up of patients with CAD.

show abstract

Association between atherosclerotic disease and cervical artery dissection in a population‐based cohort of older people

Kahan,

Zhang,

Liberman

et al. 2024

Ann Clin Transl Neurol

View full text Add to dashboard Cite

ObjectivesMany cases of cervical artery dissection are considered “spontaneous.” Recent data suggest that while cervical artery dissection may proportionally explain more strokes in young patients, hospitalization for dissection increases with age, suggesting a potential role of acquired vascular disease. In this study, we hypothesized that traditional vascular risk factors and comorbidities are associated with cervical artery dissection.MethodsWe performed a retrospective cohort study using administrative claims data from a 5% sample of Medicare beneficiaries. Exposures of interest included traditional vascular risk factors and comorbidities: coronary artery disease, hyperlipidemia, hypertension, diabetes mellitus, heart failure, chronic kidney disease, chronic obstructive pulmonary disease, valvular heart disease, atrial fibrillation, tobacco use, and alcohol abuse. The primary outcome was a new diagnosis of cervical artery dissection. Marginal structural Cox models were used to characterize the association between the exposures and outcomes, adjusted for time‐dependent confounding.ResultsAmong 2,256,710 eligible Medicare beneficiaries, 730 (0.03%) developed cervical artery dissection. The following exposures were found to be significantly associated with the development of cervical artery dissection: hypertension (HR 1.84 [95% CI: 1.40–2.41]), alcohol use (HR 1.83 [1.52–2.21]), atrial fibrillation (HR 1.80 [1.53–2.11]), tobacco use (HR 1.80 [1.52–2.13]), coronary artery disease (HR 1.56 [1.33–1.82]), and valvular heart disease (HR 1.23 [1.05–1.45]).InterpretationIn a large cohort of older people, several traditional vascular risk factors and comorbidities were associated with subsequent cervical artery dissection. Further studies exploring the role of such factors in the development of cervical artery dissection are warranted.

show abstract

Internal carotid artery dissection among younger and older patients with acute ischemic stroke

Cited by 6 publications

References 26 publications

Carotid artery stenting assisted with intravascular ultrasonography for isolated spontaneous common carotid artery dissection

Carotid artery stenting assisted with intravascular ultrasonography for isolated spontaneous common carotid artery dissection

The Role of Neurosonology in the Diagnosis and Management of Patients with Carotid Artery Disease: A Review

Association between atherosclerotic disease and cervical artery dissection in a population‐based cohort of older people

Contact Info

Product

Resources

About