scholarly journals Therapeutic Decision Making in Acute Stroke due to Carotid Artery Dissection: A Potential Role for Percutaneous Vascular Intervention following Intravenous Thrombolysis

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
J. B. Lewis ◽  
Á. Merwick ◽  
R. Ó. Laoide ◽  
A. O'Hare ◽  
C. McGuigan
Keyword(s):  
Carotid Artery ◽  
Internal Carotid ◽  
Intravenous Thrombolysis ◽  
Artery Occlusion ◽  
Carotid Artery Dissection ◽  
Artery Dissection ◽  
Vascular Intervention ◽  
Endovascular Thrombectomy ◽  
Therapeutic Decision Making ◽  
Cerebral Artery Occlusion

Internal carotid artery dissection (ICAD) is an important cause of acute ischemic stroke in younger patients. Potential acute treatments include anticoagulation, intravenous thrombolysis (IVT), and endovascular thrombectomy (ET). We report a case where the use of IVT followed by ET resulted in a good clinical outcome in a patient with tandem internal carotid and middle cerebral artery occlusion following ICAD.

scholarly journals Clinical and Tissue Response to Intravenous Thrombolysis in Tandem Internal Carotid Artery/Middle Cerebral Artery Occlusion

Stroke ◽  
2008 ◽  
Vol 39 (5) ◽  
pp. 1616-1618 ◽  
Author(s):  
Götz Thomalla ◽  
Anna Kruetzelmann ◽  
Susanne Siemonsen ◽  
Christian Gerloff ◽  
Michael Rosenkranz ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Middle Cerebral Artery ◽  
Middle Cerebral Artery Occlusion ◽  
Cerebral Artery ◽  
Internal Carotid ◽  
Intravenous Thrombolysis ◽  
Artery Occlusion ◽  
Tissue Response ◽  
Cerebral Artery Occlusion

scholarly journals Emergency Stenting of an Acute Internal Carotid Artery Occlusion from Spontaneous Dissection

2008 ◽  
Vol 14 (1) ◽  
pp. 69-72 ◽  
Author(s):  
S. Leong ◽  
S. Abbas ◽  
L. Galvin ◽  
J Moroney ◽  
P. Brennan ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Internal Carotid ◽  
Carotid Stenting ◽  
Artery Occlusion ◽  
Carotid Artery Occlusion ◽  
Carotid Artery Dissection ◽  
Artery Dissection ◽  
Spontaneous Dissection

Internal carotid artery (ICA) dissection is an important cause of stroke in the younger population. Carotid stenting with or without angioplasty is usually the preferred treatment for symptomatic patients who have failed medical therapy. We report a case of a symptomatic internal carotid artery dissection at the petrous segment of the ICA initially treated conservatively with anticoagulation and antiplatlet agents. Due to early clinical deterioration from near complete carotid occlusion without adequate cross over flow, the patient underwent emergency stenting of the ICA. Post procedure angiography demonstrated no residual stenosis of the ICA. The patient progressively improved and at six months follow-up, the patient had no further symptoms, a normal neurological examination and improvement in the imaging findings. The successful clinical result in our case of ICA stenting for dissection as a ‘hemispheric rescue’ contributes to the growing literature of endovascular management of carotid dissection. The excellent mid term follow-up confirms the efficacy of this treatment for a dominant ICA.

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