Treatment of symptomatic cervical carotid dissections with endovascular stents.

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

Neurosurgery

journal_title

Neurosurgery

authors

Bejjani GK,Monsein LH,Laird JR,Satler LF,Starnes BW,Aulisi EF

doi

10.1097/00006123-199904000-00037

keywords:

subject

Has Abstract

pub_date

1999-04-01 00:00:00

pages

755-60; discussion 760-1

issue

4

eissn

0148-396X

issn

1524-4040

journal_volume

44

pub_type

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