Intra-arterial thrombolysis and stent placement for traumatic carotid dissection with subsequent stroke: a combined, simultaneous endovascular approach

Journal of the Neurological Sciences
Jose E CohenAved Khalaileh

Abstract

Traumatic carotid dissection is a well-known cause of ischemic stroke and although the treatment of the dissection itself has received some attention in recent years, the treatment of the concomitant stroke has been less investigated. We present a 43-year-old patient with blunt traumatic internal carotid artery dissection associated with subocclusive stenosis and major cerebral thromboembolic complication. Combined, simultaneous intra-arterial fibrinolysis and carotid stenting through a bilateral approach was successfully performed allowing the complete clinical recovery of the patient. Contralateral carotid artery approach allowed the beginning of intra-arterial thrombolysis without delay, while stent-assisted angioplasty of the injured carotid was simultaneously performed. This approach was proved to be safe and effective and may deserve further evaluation.

References

May 1, 1987·Archives of Neurology·J Bogousslavsky, F Regli
Dec 14, 1995·The New England Journal of Medicine·UNKNOWN National Institute of Neurological Disorders and Stroke rt-PA Stroke Study Group
Aug 11, 2001·The New England Journal of Medicine·R Kalb
Oct 30, 2004·Stroke; a Journal of Cerebral Circulation·Y Pierre GobinJeffrey L Saver
Mar 5, 2005·Stroke; a Journal of Cerebral Circulation·José E CohenJohn M Gomori

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Citations

Nov 26, 2013·Current Neurology and Neuroscience Reports·Ricky MedelAaron S Dumont
Mar 1, 2016·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·José E CohenEyal Itshayek
Oct 30, 2016·The Journal of Emergency Medicine·Jennifer J Robertson, Alex Koyfman
Jul 30, 2011·Stroke; a Journal of Cerebral Circulation·Sanne M ZinkstokPaul J Nederkoorn
Feb 9, 2012·The Journal of Trauma and Acute Care Surgery·José E CohenSamuel Moscovici

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