Management of Cervico-Cranial Arterial Dissections

Purpose of review Cervico-cranial arterial dissections are a distinct etiology of both ischemic and hemorrhagic neurovascular events. These dissections can involve the extracranial carotid or vertebral arteries, classified collectively as cervical artery dissections, or can be intracranial arterial...

Full description

Saved in:
Bibliographic Details
Published in:Current treatment options in cardiovascular medicine 2020-12, Vol.22 (12), p.72, Article 72
Main Authors: Turner, Ashby Clay, Faye, Erica Camargo
Format: Article
Language:English
Subjects:
Aneurysms
Anticoagulants
Blood clots
Cardiology
Carotid arteries
Cerebrovascular Disease and Stroke (S Silverman
Clinical trials
Dissection
Ischemia
Medicine
Medicine & Public Health
Observational studies
Patients
Section Editor
Stroke
Topical Collection on Cerebrovascular Disease and Stroke
Ultrasonic imaging
Veins & arteries
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Purpose of review Cervico-cranial arterial dissections are a distinct etiology of both ischemic and hemorrhagic neurovascular events. These dissections can involve the extracranial carotid or vertebral arteries, classified collectively as cervical artery dissections, or can be intracranial arterial dissections, and complications and management of each differ. The most recent evidence is reviewed in this publication. Recent findings Significant heterogeneity regarding treatments of dissections exists among providers and with recent advances in endovascular approaches to neurovascular care, appreciating the latest evidence on the guidance of treatment has never been so challenging. Furthermore, recognizing the complications of cervico-cranial dissections and implementing appropriate therapies can have a significant impact on patient outcomes. Summary Overall, limited randomized controlled data exists regarding the treatment of cervico-cranial dissections. Approach to management of these dissections and potential complications is largely based on observational studies and reported cases. The available evidence and strength vary depending on the case and complication.
ISSN:1092-8464
1534-3189
DOI:10.1007/s11936-020-00877-z