Carotid Dissection

2015 ◽  
Author(s):  
Efthymios D. Avgerinos ◽  
Peter Schneider ◽  
Rabih A. Chaer
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Endovascular Procedures ◽  
Internal Carotid ◽  
Carotid Artery Dissection ◽  
Artery Dissection ◽  
Carotid Dissection ◽  
Artery Wall ◽  
Ultrasound Findings ◽  
History Of

Carotid artery dissection refers to an intimal tear and eventually hematoma of the carotid artery wall. Although medical therapy is the mainstay of treatment, surgical or endovascular procedures may be indicated to address fluctuating neurologic deficit or expanding pseudoaneurysm. This review surveys the pathophysiology and natural history of carotid dissection and summarizes the results of recent trials and evolving therapeutic options. A table highlights factors predisposing to or potentially associated with carotid dissection. Figures include an illustration of the pathophysiology of internal carotid artery dissection (ICAD); angiograms revealing right internal carotid artery tapering stenosis to occlusion, right internal carotid artery carotid dissection, and distal left ICAD; ultrasound findings of ICAD; and an algorithm for the diagnosis and management of carotid dissection. This review contains 6 figures, 1 table, and 83 references.

Immediate surgery for acute internal carotid artery dissection and thrombosis during filter deployment prior to stenting: a case report

Vascular ◽  
2013 ◽  
Vol 21 (4) ◽  
pp. 247-250 ◽  
Author(s):  
V Tolva ◽  
G B Bertoni ◽  
P G Bianchi ◽  
G C Keller ◽  
R Casana
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Endovascular Procedures ◽  
Internal Carotid ◽  
Carotid Artery Dissection ◽  
Artery Dissection ◽  
Left Internal Carotid Artery ◽  
Extracranial Carotid Artery ◽  
Acute Dissection ◽  
Immediate Surgery

Carotid artery stenting (CAS) is a validated option in the treatment of selected extracranial carotid artery stenosis. Carotid artery dissection during CAS is a rare but potentially devastating complication. We report a case of acute dissection and thrombosis of the left internal carotid artery during filter tip wire engaging maneuvers, complicated by intraoperative complete blindness of the left eye. Immediate conversion to carotid endarterectomy was performed under general anesthesia with electroencephalographic monitoring. The patient was discharged home symptomless and remains asymptomatic eight months after the operation, with normal left internal carotid patency and fully recovered eyesight. In conclusion, the management of acute carotid occlusion during CAS requires emergent evaluation and definitive endovascular or open surgical repair to minimize neurologic morbidity. We advocate that all endovascular procedures are carried out in a well-established surgical environment.

scholarly journals Symptomatic internal carotid artery dissection and kinking in a patient with fibromuscular dysplasia

2021 ◽  
Vol 20 ◽  
Author(s):  
Victor Bilman ◽  
Luca Apruzzi ◽  
Domenico Baccellieri ◽  
Francesca Sanvito ◽  
Luca Bertoglio ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Fibromuscular Dysplasia ◽  
Internal Carotid ◽  
Young Patients ◽  
Duplex Ultrasound ◽  
Carotid Artery Dissection ◽  
Uneventful Recovery ◽  
Artery Dissection ◽  
History Of

Abstract Isolated dissection of the internal carotid artery (ICA) is rare in young patients and is a cause for strong suspicion of fibromuscular dysplasia (FMD), especially when associated with artery elongation and tortuosity. The natural history of cerebrovascular FMD is unknown and management of symptomatic patients can be challenging. We report the case of a 44-year-old female patient with a history of transient ischemic attack in the absence of cardiovascular risk factors, associated with an isolated left ICA dissection and kinking. Carotid duplex ultrasound confirmed the diagnosis of dissection and demonstrated severe stenosis of the left ICA. The patient underwent surgical repair and histopathological evaluation confirmed the diagnosis of FMD with dissection. An autogenous great saphenous vein bypass was performed and the patient had an uneventful recovery. Cervical carotid artery dissection can be related to underlying arterial pathologies such as FMD, and the presence of ICA tortuosity highlights certain peculiarities for optimal management, which might be surgical.

Carotid artery dissection: a case of recurrence

2021 ◽  
Vol 14 (5) ◽  
pp. e241718
Author(s):  
Pratiksha Srinivas ◽  
Joel Nwosu ◽  
Aloaye Foy-Yamah ◽  
Clement Okiemute Ejohwomu
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Internal Carotid ◽  
Brain Mri ◽  
Carotid Artery Dissection ◽  
Artery Dissection ◽  
Left Internal Carotid Artery ◽  
Internal Carotid Artery Dissection ◽  
Ct Angiogram ◽  
History Of

A 53-year-old healthy man with history of left internal carotid artery dissection in 2006 presented with right-sided facial pain with paraesthesia associated with taste and speech disturbances. A CT angiogram was done without further delay considering the patient’s history of dissection, and revealed a non-occlusive right-sided internal carotid artery dissection at the skull base level. The neurologist, neurosurgeons and stroke team were involved in the care, and the patient was immediately moved to a tertiary hospital for further intervention. Brain MRI and magnetic resonance angiography did not reveal further progression of the dissection and the patient was therefore medically managed.

Development of Internal Carotid Artery Dissection During Masturbation

2021 ◽  
Vol 30 (1) ◽  
pp. 105387
Author(s):  
Masahiro Oomura ◽  
Takumi Kitamura ◽  
Kenichi Adachi ◽  
Yusuke Nishikawa ◽  
Mitsuhito Mase
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Internal Carotid ◽  
Carotid Artery Dissection ◽  
Artery Dissection ◽  
Internal Carotid Artery Dissection

scholarly journals Takayasu Arteritis Presenting with Internal Carotid Artery Dissection

2012 ◽  
Vol 33 (4) ◽  
pp. 408-409 ◽  
Author(s):  
R. Geraldes ◽  
P. Batista ◽  
L.M. Pedro ◽  
A. Fernandes ◽  
T.P. Melo
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Takayasu Arteritis ◽  
Internal Carotid ◽  
Carotid Artery Dissection ◽  
Artery Dissection ◽  
Internal Carotid Artery Dissection

Bilateral Internal Carotid Artery Dissection in the Postpartum Period

2012 ◽  
Vol 119 (Part 2) ◽  
pp. 489-492 ◽  
Author(s):  
Francis I. Baffour ◽  
Kathryn F. Kirchoff-Torres ◽  
Francine H. Einstein ◽  
Scarlett Karakash ◽  
Todd S. Miller
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Postpartum Period ◽  
Internal Carotid ◽  
Carotid Artery Dissection ◽  
Artery Dissection ◽  
Internal Carotid Artery Dissection
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