Primary stent implantation for bilateral spontaneous cervical ICA dissections with hypoperfusion after 72 h from onset: a case report

Primary stent implantation for bilateral spontaneous cervical ICA dissections with hypoperfusion after 72 h from onset: a case report

Abstract Background Spontaneous cervical internal carotid artery dissection (cICAD) is a common cause of stroke in young adults. Endovascular therapy is an indispensable treatment for cICAD in some cases, but it faces great challenges. Case presentation A bilateral spontaneous cICADs with hypoperfus...

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Bibliographic Details
Main Authors: Yijie Chen, Ningyuan Zhang, Yigang Chen, Xu Zheng, Xing Jin, Jinhua Zhang
Format: Article
Language:English
Published: SpringerOpen 2022-08-01
Series:CVIR Endovascular
Subjects:
Spontaneous dissection
Internal carotid artery
Endovascular treatment
Stenting
Acute ischemic stroke
Online Access:https://doi.org/10.1186/s42155-022-00318-x
Description
Summary:Abstract Background Spontaneous cervical internal carotid artery dissection (cICAD) is a common cause of stroke in young adults. Endovascular therapy is an indispensable treatment for cICAD in some cases, but it faces great challenges. Case presentation A bilateral spontaneous cICADs with hypoperfusion-related AIS after 72 h from the onset was presented herein. The patient responded well to primary Solitaire stent detachment at the critical flow-limiting site. Conclusions Primary stent implantation at the critical flow-limiting site rather than covering the entire dissection may be a therapeutic option in spontaneous cICAD complicated with cerebral hypoperfusion. The Solitaire stent may be a good choice at the acute and subacute stages of cICAD.
ISSN:2520-8934

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