Intra-arterial thrombolysis and stent placement for traumatic carotid dissection with subsequent stroke: a combined, simultaneous endovascular approach.
J Neurol Sci
; 269(1-2): 172-5, 2008 Jun 15.
Article
en En
| MEDLINE
| ID: mdl-18206911
ABSTRACT
Traumatic carotid dissection is a well-known cause of ischemic stroke and although the treatment of the dissection itself has received some attention in recent years, the treatment of the concomitant stroke has been less investigated. We present a 43-year-old patient with blunt traumatic internal carotid artery dissection associated with subocclusive stenosis and major cerebral thromboembolic complication. Combined, simultaneous intra-arterial fibrinolysis and carotid stenting through a bilateral approach was successfully performed allowing the complete clinical recovery of the patient. Contralateral carotid artery approach allowed the beginning of intra-arterial thrombolysis without delay, while stent-assisted angioplasty of the injured carotid was simultaneously performed. This approach was proved to be safe and effective and may deserve further evaluation.
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Stents
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Terapia Trombolítica
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Disección de la Arteria Carótida Interna
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Accidente Cerebrovascular
Límite:
Adult
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Humans
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Male
Idioma:
En
Revista:
J Neurol Sci
Año:
2008
Tipo del documento:
Article
País de afiliación:
Israel