Long-term results of covered stent repair of internal carotid artery dissections

Abstract

Open endovascular repair of the ICA of symptomatic patients with dissections with a 6-mm covered endoprosthesis is a safe alternative to conventional surgery, with excellent long-term patency.

Endovascular Repair of Extracranial Carotid Artery Dissection: Current Status and Level of Evidence

“…After additional search by hand and selection in accordance with the inclusion criteria, 13 studies were included in our statistical analysis (7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18). Detailed data from the eligible studies are provided in Table 1, and data from the excluded articles (5,19 -31) are given in Table 2.…”

“…Additional advantages of endovascular strategies in diagnosis and therapy enable reliable identification of true and false lumens and allow a sufficient restoration of the vessel lumen with use of microcatheter techniques (12). Moreover, the endovascular approach, also using coil embolization, has proved effective for the simultaneous treatment of any coexistent pseudoaneurysmal dilatations while circumventing the need for cross-clamping, which would not have been tolerated in most patients with poor collateral, contralateral significant involvement, and serious concomitant diseases (10).…”

Long-term outcomes of internal carotid artery dissection

“…[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.…”

The use of internal carotid artery stenting in management of bilateral carotid body tumors

“…The main risks associated with stenting are distal embolization, thrombosis [18] and the potential risks associated with lifelong antiplatelet therapy. ICA stenting requires regular follow up to detect stenosis in stent as well as to identify recurrence and metastasis of the tumors.…”