Pipeline Embolization Device for Treatment of Craniocervical Internal Carotid Artery Dissections: Report of 3 Cases

Endovascular treatment of blunt injury of the extracranial internal carotid artery: the prospect and dilemma

“…The FDS is a self-expanding tubular mesh made of cobalt-chromium with more than 30% metal coverage and 3 times the vessel wall coverage compared with traditional intracranial stents [80]. The woven tubes can provide a significantly increased potential for thrombosis by diverting blood flow away from the aneurysm and reconstructing the diseased parent artery as well as providing a scaffold for endothelial healing [81].…”

“…With FDS deployment, a higher risk of FDS migration may occur in the extracranial ICA than in intracranial vessels because of the high luminal pressure and frequent positional changes with neck movement; thus, proximal migration of the FDS is oversized relative to that of the extracranial ICA [81]. For some extracranial ICA injuries, CAS can be performed after FDS deployment because the FDA can easily pass the complex and tortuous ICA segment [85].…”