Treatment of Internal Carotid Artery Dissections with Endovascular Stent Placement: Report of Two Cases |
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Authors: | Deok Hee Lee Seung Ho Hur Hyeon Gak Kim Seung Mun Jung Dae Sik Ryu Man Soo Park |
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Affiliation: | 1Department of Diagnostic Radiology, Kangnung Hospital College of Medicine, University of Ulsan, Korea.;2Department of Neurosurgery, Kangnung Hospital College of Medicine, University of Ulsan, Korea.;3Department of Neurology, Kangnung Hospital College of Medicine, University of Ulsan, Korea. |
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Abstract: | Extracranial carotid artery dissection may manifest as arterial stenosis or occlusion, or as dissecting aneurysm formation. Anticoagulation and/or antiplatelet therapy is the first-line treatment, but because it is effective and less invasive than other procedures, endovascular treatment of carotid artery dissection has recently attracted interest. We encountered two consecutive cases of trauma-related extracranial internal carotid artery dissection, one in the suprabulbar portion and one in the subpetrosal portion. We managed the patient with suprabulbar dissection using a self-expandable metallic stent and managed the patient with subpetrosal dissection using a balloon-expandable metallic stent. In both patients the dissecting aneurysm disappeared, and at follow-up improved luminal patency was observed. |
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Keywords: | Carotid arteries Carotid arteries angiography Carotid arteries dissection Carotid arteries transluminal angioplasty |
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