Stent-Assisted Angioplasty in Spontaneous Bilateral Extracranial Internal Carotid Artery Dissection

Mengshi Liao; Xinran Chen; Hongbing Chen; Ying Wang; JinSheng Zeng; Yuhua Fan

doi:10.3389/fneur.2020.582253

Stent-Assisted Angioplasty in Spontaneous Bilateral Extracranial Internal Carotid Artery Dissection

Front Neurol. 2020 Nov 13:11:582253. doi: 10.3389/fneur.2020.582253. eCollection 2020.

Authors

Mengshi Liao^{1

2}, Xinran Chen^{1

2}, Hongbing Chen^{1

2}, Ying Wang^{1

2}, JinSheng Zeng^{1

2}, Yuhua Fan^{1

2}

Affiliations

¹ Department of Neurology, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.
² Guangdong Provincial Key Laboratory for Diagnosis and Treatment of Major Neurological Diseases, National Key Clinical Department and Key Discipline of Neurology, Guangzhou, China.

Abstract

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.

Keywords: CT perfusion; dissection; intervention; stent; therapy.

Publication types

Case Reports