Stent-Assisted Angioplasty in Spontaneous Bilateral Extracranial Internal Carotid Artery Dissection
Internal carotid artery dissection (ICAD) results from a tear in the intima or rupture of the vasa vasorum with bleeding within the media resulting in separation of the vessel wall layers and a false lumen. It may cause arterial stenosis, occlusion, or dissecting pseudoaneurysm. Currently, the treat...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2020-11-01
|
| Series: | Frontiers in Neurology |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fneur.2020.582253/full |
| id |
doaj-de09e4791116490aad3b933523d662bb |
|---|---|
| record_format |
Article |
| spelling |
doaj-de09e4791116490aad3b933523d662bb2020-11-25T04:04:39ZengFrontiers Media S.A.Frontiers in Neurology1664-22952020-11-011110.3389/fneur.2020.582253582253Stent-Assisted Angioplasty in Spontaneous Bilateral Extracranial Internal Carotid Artery DissectionMengshi Liao0Mengshi Liao1Xinran Chen2Xinran Chen3Hongbing Chen4Hongbing Chen5Ying Wang6Ying Wang7JinSheng Zeng8JinSheng Zeng9Yuhua Fan10Yuhua Fan11Department of Neurology, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, ChinaGuangdong Provincial Key Laboratory for Diagnosis and Treatment of Major Neurological Diseases, National Key Clinical Department and Key Discipline of Neurology, Guangzhou, ChinaDepartment of Neurology, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, ChinaGuangdong Provincial Key Laboratory for Diagnosis and Treatment of Major Neurological Diseases, National Key Clinical Department and Key Discipline of Neurology, Guangzhou, ChinaDepartment of Neurology, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, ChinaGuangdong Provincial Key Laboratory for Diagnosis and Treatment of Major Neurological Diseases, National Key Clinical Department and Key Discipline of Neurology, Guangzhou, ChinaDepartment of Neurology, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, ChinaGuangdong Provincial Key Laboratory for Diagnosis and Treatment of Major Neurological Diseases, National Key Clinical Department and Key Discipline of Neurology, Guangzhou, ChinaDepartment of Neurology, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, ChinaGuangdong Provincial Key Laboratory for Diagnosis and Treatment of Major Neurological Diseases, National Key Clinical Department and Key Discipline of Neurology, Guangzhou, ChinaDepartment of Neurology, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, ChinaGuangdong Provincial Key Laboratory for Diagnosis and Treatment of Major Neurological Diseases, National Key Clinical Department and Key Discipline of Neurology, Guangzhou, ChinaInternal carotid artery dissection (ICAD) results from a tear in the intima or rupture of the vasa vasorum with bleeding within the media resulting in separation of the vessel wall layers and a false lumen. It may cause arterial stenosis, occlusion, or dissecting pseudoaneurysm. Currently, the treatment of ICAD is controversial, including drug therapy and endovascular stent implantation. Simultaneous spontaneous dissection of bilateral carotid artery is rarely reported. We reported a 39-year-old-man with bilateral ICAD. Although the long-term durability of endovascular stent remains to be determined, for ICAD failed with active drug treatment and combined with hemodynamic impairment, early endovascular stent should be considered.https://www.frontiersin.org/articles/10.3389/fneur.2020.582253/fulldissectioninterventionstentCT perfusiontherapy |
| collection |
DOAJ |
| language |
English |
| format |
Article |
| sources |
DOAJ |
| author |
Mengshi Liao Mengshi Liao Xinran Chen Xinran Chen Hongbing Chen Hongbing Chen Ying Wang Ying Wang JinSheng Zeng JinSheng Zeng Yuhua Fan Yuhua Fan |
| spellingShingle |
Mengshi Liao Mengshi Liao Xinran Chen Xinran Chen Hongbing Chen Hongbing Chen Ying Wang Ying Wang JinSheng Zeng JinSheng Zeng Yuhua Fan Yuhua Fan Stent-Assisted Angioplasty in Spontaneous Bilateral Extracranial Internal Carotid Artery Dissection Frontiers in Neurology dissection intervention stent CT perfusion therapy |
| author_facet |
Mengshi Liao Mengshi Liao Xinran Chen Xinran Chen Hongbing Chen Hongbing Chen Ying Wang Ying Wang JinSheng Zeng JinSheng Zeng Yuhua Fan Yuhua Fan |
| author_sort |
Mengshi Liao |
| title |
Stent-Assisted Angioplasty in Spontaneous Bilateral Extracranial Internal Carotid Artery Dissection |
| title_short |
Stent-Assisted Angioplasty in Spontaneous Bilateral Extracranial Internal Carotid Artery Dissection |
| title_full |
Stent-Assisted Angioplasty in Spontaneous Bilateral Extracranial Internal Carotid Artery Dissection |
| title_fullStr |
Stent-Assisted Angioplasty in Spontaneous Bilateral Extracranial Internal Carotid Artery Dissection |
| title_full_unstemmed |
Stent-Assisted Angioplasty in Spontaneous Bilateral Extracranial Internal Carotid Artery Dissection |
| title_sort |
stent-assisted angioplasty in spontaneous bilateral extracranial internal carotid artery dissection |
| publisher |
Frontiers Media S.A. |
| series |
Frontiers in Neurology |
| issn |
1664-2295 |
| publishDate |
2020-11-01 |
| description |
Internal carotid artery dissection (ICAD) results from a tear in the intima or rupture of the vasa vasorum with bleeding within the media resulting in separation of the vessel wall layers and a false lumen. It may cause arterial stenosis, occlusion, or dissecting pseudoaneurysm. Currently, the treatment of ICAD is controversial, including drug therapy and endovascular stent implantation. Simultaneous spontaneous dissection of bilateral carotid artery is rarely reported. We reported a 39-year-old-man with bilateral ICAD. Although the long-term durability of endovascular stent remains to be determined, for ICAD failed with active drug treatment and combined with hemodynamic impairment, early endovascular stent should be considered. |
| topic |
dissection intervention stent CT perfusion therapy |
| url |
https://www.frontiersin.org/articles/10.3389/fneur.2020.582253/full |
| work_keys_str_mv |
AT mengshiliao stentassistedangioplastyinspontaneousbilateralextracranialinternalcarotidarterydissection AT mengshiliao stentassistedangioplastyinspontaneousbilateralextracranialinternalcarotidarterydissection AT xinranchen stentassistedangioplastyinspontaneousbilateralextracranialinternalcarotidarterydissection AT xinranchen stentassistedangioplastyinspontaneousbilateralextracranialinternalcarotidarterydissection AT hongbingchen stentassistedangioplastyinspontaneousbilateralextracranialinternalcarotidarterydissection AT hongbingchen stentassistedangioplastyinspontaneousbilateralextracranialinternalcarotidarterydissection AT yingwang stentassistedangioplastyinspontaneousbilateralextracranialinternalcarotidarterydissection AT yingwang stentassistedangioplastyinspontaneousbilateralextracranialinternalcarotidarterydissection AT jinshengzeng stentassistedangioplastyinspontaneousbilateralextracranialinternalcarotidarterydissection AT jinshengzeng stentassistedangioplastyinspontaneousbilateralextracranialinternalcarotidarterydissection AT yuhuafan stentassistedangioplastyinspontaneousbilateralextracranialinternalcarotidarterydissection AT yuhuafan stentassistedangioplastyinspontaneousbilateralextracranialinternalcarotidarterydissection |
| _version_ |
1724435834136952832 |