Initial clinical experience with Xpert-Pro peripheral self-expanding stent system for internal carotid artery dissection: Two case reports
Background: The standard treatment for internal carotid artery (ICA) dissection is obscure. Current therapeutic strategies include the use of antiplatelet drugs, anticoagulant drugs, intravenous thrombolysis, and endovascular treatment. Endovascular treatment is important in acute internal carotid a...
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| Format: | Article |
| Language: | English |
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KeAi Communications Co., Ltd.
2023-05-01
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| Series: | Journal of Interventional Medicine |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2096360223000170 |
| _version_ | 1797809154420637696 |
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| author | Ning Li Xinzhao Jiang Zhora Baghdasaryan Peng Wang |
| author_facet | Ning Li Xinzhao Jiang Zhora Baghdasaryan Peng Wang |
| author_sort | Ning Li |
| collection | DOAJ |
| description | Background: The standard treatment for internal carotid artery (ICA) dissection is obscure. Current therapeutic strategies include the use of antiplatelet drugs, anticoagulant drugs, intravenous thrombolysis, and endovascular treatment. Endovascular treatment is important in acute internal carotid artery dissection. This study reports two acute internal carotid artery dissection cases that were treated successfully using the Xpert-Pro peripheral self-expanding stent system. Case summary: The first case was of a 38-year-old male patient with transient speechlessness and paralysis of the right limb in July 2021. Cervical computed tomographic angiography (CTA) showed ICA occlusion on the left side. Digital subtraction angiography (DSA) showed severe stenosis of the C1 segment of the left internal carotid artery with intermural hematoma. The patient subsequently underwent Xpert-Pro peripheral self-expanding stent implantation, and his condition stabilized. The second case was of a 56-year-old male patient with speechlessness and paralysis of the right limb. Cervical CTA showed a dissected left ICA, and DSA showed an occluded left ICA and middle cerebral artery. The patient subsequently underwent stent implantation, and his condition stabilized. |
| first_indexed | 2024-03-13T06:48:18Z |
| format | Article |
| id | doaj.art-4e240b7de87343f5b9ea9e27d81f3b86 |
| institution | Directory Open Access Journal |
| issn | 2096-3602 |
| language | English |
| last_indexed | 2024-03-13T06:48:18Z |
| publishDate | 2023-05-01 |
| publisher | KeAi Communications Co., Ltd. |
| record_format | Article |
| series | Journal of Interventional Medicine |
| spelling | doaj.art-4e240b7de87343f5b9ea9e27d81f3b862023-06-08T04:19:07ZengKeAi Communications Co., Ltd.Journal of Interventional Medicine2096-36022023-05-0162103106Initial clinical experience with Xpert-Pro peripheral self-expanding stent system for internal carotid artery dissection: Two case reportsNing Li0Xinzhao Jiang1Zhora Baghdasaryan2Peng Wang3The Second Clinical Medical College, Zhejiang Chinese Medical University, Hangzhou, ChinaDepartment of Neurology, Center for Rehabilitation Medicine, Zhejiang Provincial People's Hospital, Affiliated People's Hospital of Hangzhou Medical College, Hangzhou, ChinaDepartment of Neurology and Stroke, Gyumri Medical Center, Gyumri, ArmeniaDepartment of Neurology, Center for Rehabilitation Medicine, Zhejiang Provincial People's Hospital, Affiliated People's Hospital of Hangzhou Medical College, Hangzhou, China; Corresponding author. Department of Neurology, Center for Rehabilitation Medicine, Zhejiang Provincial People's Hospital, Affiliated People's Hospital of Hangzhou Medical College, No.158 Shangtang Road, Hangzhou, 310014, China.Background: The standard treatment for internal carotid artery (ICA) dissection is obscure. Current therapeutic strategies include the use of antiplatelet drugs, anticoagulant drugs, intravenous thrombolysis, and endovascular treatment. Endovascular treatment is important in acute internal carotid artery dissection. This study reports two acute internal carotid artery dissection cases that were treated successfully using the Xpert-Pro peripheral self-expanding stent system. Case summary: The first case was of a 38-year-old male patient with transient speechlessness and paralysis of the right limb in July 2021. Cervical computed tomographic angiography (CTA) showed ICA occlusion on the left side. Digital subtraction angiography (DSA) showed severe stenosis of the C1 segment of the left internal carotid artery with intermural hematoma. The patient subsequently underwent Xpert-Pro peripheral self-expanding stent implantation, and his condition stabilized. The second case was of a 56-year-old male patient with speechlessness and paralysis of the right limb. Cervical CTA showed a dissected left ICA, and DSA showed an occluded left ICA and middle cerebral artery. The patient subsequently underwent stent implantation, and his condition stabilized.http://www.sciencedirect.com/science/article/pii/S2096360223000170Internal carotid artery dissectionEndovascular treatmentStentCase reportNeurology |
| spellingShingle | Ning Li Xinzhao Jiang Zhora Baghdasaryan Peng Wang Initial clinical experience with Xpert-Pro peripheral self-expanding stent system for internal carotid artery dissection: Two case reports Journal of Interventional Medicine Internal carotid artery dissection Endovascular treatment Stent Case report Neurology |
| title | Initial clinical experience with Xpert-Pro peripheral self-expanding stent system for internal carotid artery dissection: Two case reports |
| title_full | Initial clinical experience with Xpert-Pro peripheral self-expanding stent system for internal carotid artery dissection: Two case reports |
| title_fullStr | Initial clinical experience with Xpert-Pro peripheral self-expanding stent system for internal carotid artery dissection: Two case reports |
| title_full_unstemmed | Initial clinical experience with Xpert-Pro peripheral self-expanding stent system for internal carotid artery dissection: Two case reports |
| title_short | Initial clinical experience with Xpert-Pro peripheral self-expanding stent system for internal carotid artery dissection: Two case reports |
| title_sort | initial clinical experience with xpert pro peripheral self expanding stent system for internal carotid artery dissection two case reports |
| topic | Internal carotid artery dissection Endovascular treatment Stent Case report Neurology |
| url | http://www.sciencedirect.com/science/article/pii/S2096360223000170 |
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