Intravascular Treatment of Extracranial Internal Carotid Artery Dissection
https://doi.org/10.35401/2541-9897-2023-8-4-110-117
Abstract
Objective: To evaluate the efficacy and safety of endovascular treatment of extracranial dissection of the internal carotid artery, as well as pseudoaneurysm associated with dissection.
Clinical cases: In this article we report the results of endovascular treatment of 2 patients with iatrogenic and spontaneous dissection of the cervical segment of the internal carotid artery.
Conclusions: Internal carotid artery dissection can lead to significant narrowing of the vessel lumen, occlusion or pseudoaneurysm followed by hemodynamic or embolic stroke despite anticoagulant therapy. In some cases, endovascular stenting for dissection is a safe and effective method of restoring vessel lumen integrity with a good clinical outcome.
About the Authors
V. V. Efimov
Scientific Research Institute – Ochapovsky Regional Clinical Hospital No. 1
Russian Federation
Russian Federation
Vitaliy V. Efimov, Specialist in X-Ray-Guided Endovascular Diagnostics and Treatment, Unit of X-Ray-Guided Endovascular Diagnostics and Treatment
ulitsa 1 Maya 167, Krasnodar, 350086
A. N. Fedorchenko
Scientific Research Institute – Ochapovsky Regional Clinical Hospital No. 1
Russian Federation
Russian Federation
Alexey N. Fedorchenko, Dr. Sci. (Med.), Head of the Unit of XRay-Guided Endovascular Diagnostics and Treatment
Krasnodar
A. I. Beliy
Scientific Research Institute – Ochapovsky Regional Clinical Hospital No. 1
Russian Federation
Russian Federation
Anton I. Beliy, Specialist in X-Ray-Guided Endovascular Diagnostics and Treatment, Unit of X-Ray-Guided Endovascular Diagnostics and Treatment
Krasnodar
E. S. Suslov
Scientific Research Institute – Ochapovsky Regional Clinical Hospital No. 1
Russian Federation
Russian Federation
Evgeniy S. Suslov, Specialist in X-Ray-Guided Endovascu- lar Diagnostics and Treatment, Unit of X-Ray-Guided Endovas- cular Diagnostics and Treatment
Krasnodar
References
1. . Lucas C, Moulin T, Deplanque D, Tatu L, Chavot D. Stroke patterns of internal carotid artery dissection in 40 patients. Stroke. 1998;29(12):2646–2648. PMID: 9836779. https://doi.org/10.1161/01.str.29.12.2646
2. Chabrier S, Lasjaunias P, Husson B, Landrieu P, Tardieu M. Ischaemic stroke from dissection of the craniocervical arteries in childhood: report of 12 patients. Eur J Paediatr Neurol. 2003;7(1):39–42. PMID: 12615173. https://doi.org/10.1016/s10903798(02)00138-1
3. Biousse V, D’Anglejan-Chatillon J, Touboul P-J, Amarenco P, Bousser M-G. Time course of symptoms in extracranial carotid artery dissections. A series of 80 patients. Stroke. 1995;26(2):235–239. PMID: 7831694. https://doi.org/10.1161/01.str.26.2.235
4. Desfontaines P, Despland PA. Dissection of the internal carotid artery: aetiology, symptomatology, clinical and neurosonological follow-up, and treatment in 60 consecutive cases. Acta Neurol Belg. 1995;95(4):226–234. PMID: 8553796.
5. Ast G, Woimant F, Georges B, Laurian C, Haguenau M. Spontaneous dissection of the internal carotid artery in 68 patients. Eur J Med. 1993;2(8):466–472. PMID: 8258047.
6. Schievink WI. The treatment of spontaneous carotid and vertebral artery dissections. Curr Opin Cardiol. 2000;15(5):316–321. PMID: 11128183. https://doi.org/10.1097/00001573-20000900000002
7. Kalb R. Spontaneous dissection of the carotid and vertebral arteries. N Engl J Med. 2001;345(6):467. PMID: 11496865. https://doi.org/10.1056/nejm200108093450616
8. Engelter ST, Lyrer PA, Kirsch EC, Steck AJ. Long-term follow-up after extracranial internal carotid artery dissection. Eur Neurol. 2000;44(4):199–204. PMID: 11096217. https://doi.org/10.1159/000008236
9. Müller BT, Luther B, Hort W, Neumann-Haefelin T, Aulich A, Sandmann W. Surgical treatment of 50 carotid dissections: indications and results. J Vasc Surg. 2000;31(5):980–988. PMID: 10805889. https://doi.org/10.1067/mva.2000.104586
10. Bush RL, Lin PH, Dodson TF, Dion JE, Lumsden AB. Endoluminal stent placement and coil embolization for the management of carotid artery pseudoaneurysms. J Endovasc Ther. 2001;8(1):53–61. PMID: 11220470. https://doi.org/10.1177/152660280100800109
11. Hart RG, Easton JD. Dissections of cervical and cerebral arteries. Neurol Clin. 1983;1(1):155–182. PMID: 6680158. https://doi.org/10.1016/s0733-8619(18)31177-0
12. Giroud M, Fayolle H, André N, et al. Incidence of internal carotid artery dissection in the community of Dijon. J Neurol Neurosurg Psychiatry. 1994;57(11):1443. PMID: 7964839. PMCID: PMC1073215. https://doi.org/10.1136/jnnp.57.11.1443
13. Zuber M, Meder JF, Mas JL. Carotid artery dissection due to elongated styloid process. Neurology. 1999;53(8):1886–1887. PMID: 10563650. https://doi.org/10.1212/wnl.53.8.1886
14. Eagle WW. Elongated styloid processes: report of two cases. Arch Otolaryngol. 1937;25(5):584–587. https://doi.org/10.1001/archotol.1937.00650010656008
15. Cano LM, Cardona P, Rubio F. Eagle syndrome and carotid dissection. Neurologia. 2010;25(4):266–267. (In Spanish). PMID: 20609304. https://doi.org/10.1016/s2173-5808(10)70050-x
16. Faivre A, Abdelfettah Z, Rodriguez S, Nicoli F. Bilateral internal carotid artery dissection due to elongated styloid processes and shaking dancing. J Neurol Neurosurg Psychiatry. 2009;80(10):1154–1155. PMID: 19762905. https://doi.org/10.1136/jnnp.2008.159954
17. Martins WD, Ribas Mde O, Bisinelli J, França BH, Martins G. Eagle’s syndrome: treatment by intraoral bilateral resection of the ossified stylohyoid ligament. A review and report of two cases. Cranio. 2013;31(3):226–231. PMID: 23971163. https://doi.org/10.1179/crn.2013.033
18. Cloft HJ, Jensen ME, Kallmes DF, Dion JE. Arterial dissections complicating cerebral angiography and cerebrovascular interventions. AJNR Am J Neuroradiol. 2000;21(3):541–545. PMID: 10730648. PMCID: PMC8174991.
19. Kalashnikova LA, Kadykov AS, Dobrynina LA, Krotenkova MV. Dissecting intramural hematoma (dissection) of the internal carotid artery and cerebral ischemia. The Neurological Journal. 2000;5(6):9–12. (In Russ.).
20. Schievink WI. Spontaneous dissection of the carotid and vertebral arteries. N Engl J Med. 2001;344(12):898–906. PMID: 11259724. https://doi.org/10.1056/nejm200103223441206
21. Lee VH, Brown RD Jr, Mandrekar JN, Mokri B. Incidence and outcome of cervical artery dissection: a population-based study. Neurology. 2006;67(10):1809–1812. PMID: 17130413. https://doi.org/10.1212/01.wnl.0000244486.30455.71
22. Gonzales-Portillo F, Bruno A, Biller J. Outcome of extracranial cervicocephalic arterial dissections: a follow-up study. Neurol Res. 2002;24(4):395–398. PMID: 12069289. https://doi.org/10.1179/016164102101200087
23. Georgiadis D, Caso V, Baumgartner RW. Acute therapy and prevention of stroke in spontaneous carotid dissection. Clin Exp Hypertens. 2006;28(3–4):365–370. PMID: 16833047. https://doi.org/10.1080/10641960600549652
24. Schievink WI, Piepgras DG, McCaffrey TV, Mokri B. Surgical treatment of extracranial internal carotid artery dissecting aneurysms. Neurosurgery. 1994;35(5):809–816. PMI
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For citations:
Efimov V.V., Fedorchenko A.N., Beliy A.I., Suslov E.S. Intravascular Treatment of Extracranial Internal Carotid Artery Dissection. Innovative Medicine of Kuban. 2023;(4):110-117. (In Russ.) https://doi.org/10.35401/2541-9897-2023-8-4-110-117
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