Treatment of internal carotid artery dissections with endovascular stent placement: report of two cases

Korean J Radiol. 2001 Jan-Mar;2(1):52-6. doi: 10.3348/kjr.2001.2.1.52.

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.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Carotid Artery Injuries / complications
  • Carotid Artery, Internal, Dissection / diagnostic imaging
  • Carotid Artery, Internal, Dissection / etiology
  • Carotid Artery, Internal, Dissection / therapy*
  • Cerebral Angiography
  • Humans
  • Male
  • Stents*