Endovascular repair of a spontaneous carotid artery dissection with carotid stent and coils

Biggs, Kristen L.; Chiou, Andy C.; Hagino, Ryan T.; Klucznik, Richard P.

doi:10.1016/j.jvs.2004.03.018

Cited by 32 publications

(12 citation statements)

References 18 publications

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“…After additional search by hand and selection in accordance with the inclusion criteria, 13 studies were included in our statistical analysis (7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18). Detailed data from the eligible studies are provided in Table 1, and data from the excluded articles (5,19 -31) are given in Table 2.…”

Section: Resultsmentioning

confidence: 99%

Endovascular Repair of Extracranial Carotid Artery Dissection: Current Status and Level of Evidence

Donas¹,

Mayer²,

Guber³

et al. 2008

Journal of Vascular and Interventional Radiology

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PURPOSE: To provide evidence for the endovascular repair of patients with extracranial carotid artery dissection. MATERIALS AND METHODS: A comprehensive literature review was performed whereby all studies that reported on the results of endoluminal repair of extracranial carotid artery dissection and provided information about primary technical and clinical success were identified. The Pubmed, Embase, and Medline databases were searched between January 1997 and February 2008 by two independent observers by using combinations of search terms "endovascular repair," "extracranial carotid artery," and "carotid dissection." RESULTS: After studies were selected according to the given criteria, 13 studies were included in our statistical analysis. The number of reported patients was 62, with a total of 63 extracranial carotid artery dissections. The mean patient age was 43.3 years. The mean follow-up period was 15.7 months +/-8.7. Various causes were responsible for the disease, including a blunt neck injury in 28 patients (45%), spontaneous dissection in 21 (37%), and iatrogenic trauma during invasive radiologic procedure in 17.7% patients. The technical success rate was 100% (63 of 63 procedures). The primary and 1-year patency rate of the stents and/or stent-grafts was 100%. The overall major adverse cardiovascular events rate was 11% (seven strokes). The total follow-up mortality rate was 0%. CONCLUSIONS: The current status of the reported cases in the literature regarding the treatment of carotid artery dissection by means of stent placement shows excellent early and 1-year patency rates and a low major adverse cardiovascular event rate. However, further evaluation is necessary to draw robust conclusions.

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Section: Resultsmentioning

confidence: 99%

Endovascular Repair of Extracranial Carotid Artery Dissection: Current Status and Level of Evidence

Donas¹,

Mayer²,

Guber³

et al. 2008

Journal of Vascular and Interventional Radiology

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“…Several case reports and single patient series suggest that carotid stenting may be safe in the setting of SCD. [19][20][21] The patient in this series who underwent carotid stent placement suffered from recurrent symptomatic bilateral carotid dissection while on anticoagulation. (Fig.…”

Section: Discussionmentioning

confidence: 99%

Spontaneous Dissection of the Carotid and Vertebral Arteries: the 10-year UCSD Experience

Chandra¹,

Suliman²,

Angle³

2007

Annals of Vascular Surgery

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“…Secondly, endovascular treatment allows the immediate recanalization of the occluded artery and resolution of the dissection [14]. Endovascular treatment can simultaneously alleviate any concomitant pseudoaneurysm formation [17,19]. In this study, 49 patients (24.4%) were treated by emergent endovascular stenting.…”

Section: Discussionmentioning

confidence: 99%

A Systematic Review of Endovascular Management of Internal Carotid Artery Dissections

Huang

Zhou²

2012

Intervent Neurol

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Background: We conducted a review of the safety and outcomes of endovascular intervention in patients with internal carotid artery dissection (ICAD). Summary: A literature review was performed. PubMed and Medline databases were searched from inception to September 2012 with the key words ‘carotid artery' (title), ‘dissection' (title) and ‘endovascular' (title/abstract). All studies were included which reported outcomes of endovascular intervention in ICAD and provided information about technical and clinical results. After screening, we included 23 articles. In total, 201 patients (128 male and 73 female) were included in the eligible studies. The mean age was 46.7 years (range 13-83 years). Of the 201 patients, the causes of the carotid dissections were traumatic in 69 (34.3%), spontaneous in 115 (57.2%) and iatrogenic in 17 (8.5%). The technical success rate was 99.1%. The overall rate of major cardiovascular events in the perioperative period was 4%. No procedure-related deaths occurred. Imaging follow-up data (mean follow-up time 16.5 months) demonstrated that only 3.3% of patients had intimal hyperplasia or in-stent restenosis or occlusion of a treated vessel. Clinical follow-up data (mean follow-up period 20.9 months) showed that only 2.1% of patients had a recurrent transient ischemic attack in the territory of the treated vessel. Key Messages: Endovascular intervention with stenting or stent-graft-supported angioplasty in selected patients with ICAD is promising. However, further evaluation is warranted to provide more evidence to support the feasibility of endovascular procedures in treating ICAD.

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Endovascular repair of a spontaneous carotid artery dissection with carotid stent and coils

Cited by 32 publications

References 18 publications

Endovascular Repair of Extracranial Carotid Artery Dissection: Current Status and Level of Evidence

Endovascular Repair of Extracranial Carotid Artery Dissection: Current Status and Level of Evidence

Spontaneous Dissection of the Carotid and Vertebral Arteries: the 10-year UCSD Experience

A Systematic Review of Endovascular Management of Internal Carotid Artery Dissections

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