Intracranial dissection during carotid endarterectomy treated by carotid stenting

Vasa. 2009 Feb;38(1):81-4. doi: 10.1024/0301-1526.38.1.81.

Abstract

Intracranial dissection of the internal carotid artery after carotid endarterectomy (CEA) is a serious complication with a potentially fatal outcome. We report on a 67 male with a symptomatic high grad stenosis of the internal carotid artery. Intraoperative completion angiography showed a thrombotic occlusion and the internal carotid artery (ICA) was resected with interposition of a Dacron graft. Completion angiography then revealed a dissection of the petreous ICA, which was corrected by insertion of a coronary artery stent.Stenting of the ICA is a useful tool to restore cerebral perfusion without time delay and completion imaging is extremely helpful for early detection of dissection during CEA.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Angioplasty, Balloon / instrumentation*
  • Anticoagulants / therapeutic use
  • Blood Vessel Prosthesis Implantation / instrumentation*
  • Blood Vessel Prosthesis*
  • Carotid Artery Thrombosis / diagnostic imaging
  • Carotid Artery Thrombosis / etiology
  • Carotid Artery Thrombosis / surgery*
  • Carotid Artery, Internal / diagnostic imaging
  • Carotid Artery, Internal / surgery*
  • Carotid Artery, Internal, Dissection / diagnostic imaging
  • Carotid Artery, Internal, Dissection / etiology
  • Carotid Artery, Internal, Dissection / therapy*
  • Carotid Stenosis / diagnostic imaging
  • Carotid Stenosis / surgery*
  • Endarterectomy, Carotid / adverse effects*
  • Humans
  • Male
  • Platelet Aggregation Inhibitors / therapeutic use
  • Polyethylene Terephthalates
  • Prosthesis Design
  • Radiography, Interventional
  • Stents*
  • Treatment Outcome

Substances

  • Anticoagulants
  • Platelet Aggregation Inhibitors
  • Polyethylene Terephthalates