Treatment of Internal Carotid Artery Dissections with Endovascular Stent Placement: Report of Two Cases.
- Author:
Deok Hee LEE
1
;
Seung Ho HUR
;
Hyeon Gak KIM
;
Seung Mun JUNG
;
Dae Sik RYU
;
Man Soo PARK
Author Information
- Publication Type:Case Report
- Keywords: Carotid arteries; Carotid arteries, angiography; Carotid arteries, dissection; Carotid arteries, transluminal,angioplasty
- MeSH: Adult; Carotid Artery Injuries/complications; Carotid Artery, Internal, Dissection/etiology/radiography/*therapy; Case Report; Cerebral Angiography; Human; Male; *Stents
- From:Korean Journal of Radiology 2001;2(1):52-56
- CountryRepublic of Korea
- Language:English
- 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 traumarelated 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 subpet-rosal dissection using a balloon-expandable metallic stent. In both patients the dissecting aneurysm disappeared, and at follow-up improved luminal patency was observed.
