Therapeutic Decision Making in Acute Stroke due to Carotid Artery Dissection: A Potential Role for Percutaneous Vascular Intervention following Intravenous Thrombolysis | Zendy

J. B. Lewis | Zendy; Áine Merwick | Zendy; Risteárd Ó. Laoide | Zendy; Alan O’Hare | Zendy; Chris McGuigan | Zendy

Open Access

Therapeutic Decision Making in Acute Stroke due to Carotid Artery Dissection: A Potential Role for Percutaneous Vascular Intervention following Intravenous Thrombolysis

Author(s) -

J. B. Lewis,

Áine Merwick,

Risteárd Ó. Laoide,

Alan O’Hare,

Chris McGuigan

Publication year - 2013

Publication title -

case reports in vascular medicine

Language(s) - English

Resource type - Journals

eISSN - 2090-6986

pISSN - 2090-6994

DOI - 10.1155/2013/121696

Subject(s) - medicine , thrombolysis , icad , stroke (engine) , dissection (medical) , internal carotid artery , occlusion , percutaneous , cardiology , carotid arteries , intervention (counseling) , surgery , myocardial infarction , mechanical engineering , biochemistry , chemistry , engineering , gene , psychiatry

Internal carotid artery dissection (ICAD) is an important cause of acute ischemic stroke in younger patients. Potential acute treatments include anticoagulation, intravenous thrombolysis (IVT), and endovascular thrombectomy (ET). We report a case where the use of IVT followed by ET resulted in a good clinical outcome in a patient with tandem internal carotid and middle cerebral artery occlusion following ICAD.

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