Management of traumatic carotid artery dissection: initial experience of a single center

Traumatic carotid artery dissection (tCAD) bears the risk of hypoperfusion inducing delayed cerebral ischemia. The lack of consensus on standard treatment of tCAD remains a great challenge. Here, we present our successes on a series of patients with delayed tCAD diagnosis and treatment using multimo...

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Bibliographic Details
Published in:Neurosurgical review 2016-07, Vol.39 (3), p.393-399
Main Authors: Zhengxing, Xie, Zhenwen, Cui, Yuhao, Sun, Zhihong, Zhong, Liuguan, Bian, Qingfang, Sun
Format: Article
Language:English
Subjects:
Adult
Anticoagulants - therapeutic use
Brain Ischemia - drug therapy
Brain Ischemia - surgery
Carotid Artery Diseases - drug therapy
Carotid Artery Diseases - surgery
Carotid Artery, Internal - surgery
Cerebral Angiography - methods
Cerebral Infarction
Female
Humans
Male
Medicine
Medicine & Public Health
Middle Aged
Neurosurgery
Original Article
Retrospective Studies
Stents
Treatment Outcome
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Summary:Traumatic carotid artery dissection (tCAD) bears the risk of hypoperfusion inducing delayed cerebral ischemia. The lack of consensus on standard treatment of tCAD remains a great challenge. Here, we present our successes on a series of patients with delayed tCAD diagnosis and treatment using multimodality treatment strategies. We retrospectively reviewed 21 patients with tCAD treated with carotid artery stent placement or anticoagulation therapy. There were 14 dissection locations (66.67 %) which involved extracranial internal carotid artery (ICA) and seven locations (33.33 %) which involved both extracranial and intracranial ICA. Stenosis severity was 70–99 % in 16 cases (76.19 %) and
ISSN:0344-5607
1437-2320
DOI:10.1007/s10143-015-0689-0