Primary stent implantation for bilateral spontaneous cervical ICA dissections with hypoperfusion after 72 h from onset: a case report

Abstract

Background Spontaneous cervical internal carotid artery dissection (cICAD) is a common cause of stroke in young adults. Endovascular therapy is an indispensable treatment for cICAD in some cases, but it faces great challenges. Case presentation A bilateral spontaneous cICADs with hypoperfusion-related AIS after 72 h from the onset was presented herein. The patient responded well to primary Solitaire stent detachment at the critical flow-limiting site. Conclusions Primary stent implantation at the critical flow-limiting site rather than covering the entire dissection may be a therapeutic option in spontaneous cICAD complicated with cerebral hypoperfusion. The Solitaire stent may be a good choice at the acute and subacute stages of cICAD.

Initial clinical experience with Xpert-Pro peripheral self-expanding stent system for internal carotid artery dissection: Two case reports

“…These include identifying true and false lumens, the arterial segments being too long, the requirement of superimposition of stents to avoid intrastent arterial dissections while using multiple and combined stents, and an excessive curvature of the internal carotid artery causing an inadequate stent apposition. 7 , 8 …”

“…As noted in recent studies, different stents have been successfully used to manage carotid disease. 7 , 8 However, no studies have been conducted on the use of Xpert-Pro stent for ICAD. Therefore, the Xpert-Pro stent might be suitable for implants and have better outcomes, which deserves further study.…”