Abstract:
OBJECTIVE:Symptomatic dissections of the cervical carotid artery (CCA) can be spontaneous or secondary to trauma and may be associated with pseudoaneurysms. Surgical treatment is often difficult or unavailable. We report the successful use of endovascular stents in the treatment of symptomatic dissection of the CCA. METHODS:Five consecutive patients with symptomatic CCA dissection were seen at our institution. There were four female patients and one male patient, ranging in age from 19 to 56 years. One dissection was spontaneous. The others were secondary to a gunshot wound (one patient), blunt neck trauma (two patients), and endovascular treatment of atherosclerotic carotid bifurcation disease (one patient). Balloon-expandable and self-expanding stents were placed via a transfemoral approach. RESULTS:Success in restoring the carotid lumen with two to five stents in each patient was angiographically demonstrated. There were no procedure-related complications. All patients experienced significant clinical improvement within the first 24 hours and complete long-term recovery. CONCLUSION:Symptomatic dissections of the CCA can be successfully treated by using endovascular stents.
journal_name
Neurosurgeryjournal_title
Neurosurgeryauthors
Bejjani GK,Monsein LH,Laird JR,Satler LF,Starnes BW,Aulisi EFdoi
10.1097/00006123-199904000-00037keywords:
subject
Has Abstractpub_date
1999-04-01 00:00:00pages
755-60; discussion 760-1issue
4eissn
0148-396Xissn
1524-4040journal_volume
44pub_type
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