Document Detail

Combined neuroendovascular stenting and coil embolization for cervical carotid artery dissection causing symptomatic mass effect.
MedLine Citation:
PMID:  10825514     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Carotid artery dissection manifesting with symptomatic mass effect has been treated surgically according to the previous literature. Recently, some cases of carotid artery dissection manifesting with ischemic symptoms were treated successfully with endovascular insertion of coils after stenting. METHODS: A 42-year-old man with spontaneous dissection of the left cervical internal carotid artery (ICA) presented with the major complaint of left neck swelling and pain that was considered to be the mass effect of a pseudoaneurysm caused by dissection of the ICA. Endovascular therapy using a stent and coils was performed. The self-expanding stent was deployed to cover the neck of the pseudoaneurysm. A microcatheter was then guided through the stent mesh into the aneurysm, and coils were placed to pack it. RESULTS: Four months later, angiography revealed complete embolization of the aneurysm with preserved flow in the ICA. The mass effect attributable to the pseudoaneurysm was relieved symptomatically as well as radiologically. CONCLUSION: Cervical artery dissection with symptomatic mass effect++ can be treated successfully by the combination of stent and coils. This may be considered as an alternative to conventional proximal ligation, extracranial-intracranial bypass, or direct surgical repair.
R Saito; M Ezura; A Takahashi; T Yoshimoto
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Surgical neurology     Volume:  53     ISSN:  0090-3019     ISO Abbreviation:  Surg Neurol     Publication Date:  2000 Apr 
Date Detail:
Created Date:  2000-07-11     Completed Date:  2000-07-11     Revised Date:  2010-03-23    
Medline Journal Info:
Nlm Unique ID:  0367070     Medline TA:  Surg Neurol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  318-22     Citation Subset:  IM    
Department of Neuroendovascular Therapy, Kohnan Hospital, Sendai, Japan.
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MeSH Terms
Aneurysm, Dissecting / complications*,  diagnosis,  therapy*
Carotid Artery Diseases / complications*,  diagnosis,  therapy*
Carotid Artery, Internal / radiography*
Cerebral Angiography / methods
Diagnosis, Differential
Embolization, Therapeutic / methods
Endothelium, Vascular / pathology,  surgery*
Hemiplegia / complications,  diagnosis
Intracranial Thrombosis / diagnosis,  therapy
Ischemic Attack, Transient / complications,  diagnosis
Memory Disorders / complications,  diagnosis
Psychotic Disorders / complications,  diagnosis

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