Treatment of acute cervical internal carotid artery dissection using the Solitaire FR revascularization device

J Neurointerv Surg. 2013 Nov;5(6):e50. doi: 10.1136/neurintsurg-2012-010519.rep. Epub 2013 Jan 7.

Abstract

During treatment of a right internal carotid artery terminus aneurysm, an acute iatrogenic flow limiting dissection was caused in the cervical internal carotid. The true lumen was catheterized using a Mirage 0.008 microwire over an Excelsior SL-10 microcatheter, which was exchanged for a Marksman microcatheter. A 6 mm × 30 mm Solitaire FR revascularization device was then deployed across the dissection as a salvage technique.

Keywords: Aneurysm; Angioplasty; Blood Flow; Dissection; Stent.

Publication types

  • Case Reports

MeSH terms

  • Carotid Artery, Internal, Dissection / etiology
  • Carotid Artery, Internal, Dissection / surgery*
  • Catheters
  • Cerebral Angiography
  • Cerebral Revascularization / instrumentation*
  • Cerebral Revascularization / methods*
  • Embolization, Therapeutic
  • Follow-Up Studies
  • Humans
  • Iatrogenic Disease
  • Intracranial Aneurysm / complications
  • Intracranial Aneurysm / surgery
  • Male
  • Middle Aged
  • Platelet Aggregation Inhibitors / therapeutic use
  • Stents*
  • Treatment Outcome

Substances

  • Platelet Aggregation Inhibitors