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Stenting: A New Approach to Carotid Dissection
Author(s) -
DeOcampo Jose,
Brillman Jon,
Levy David I.
Publication year - 1997
Publication title -
journal of neuroimaging
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.822
H-Index - 64
eISSN - 1552-6569
pISSN - 1051-2284
DOI - 10.1111/jon199773187
Subject(s) - medicine , fibromuscular dysplasia , dissection (medical) , angioplasty , radiology , carotid arteries , carotid stenting , stroke (engine) , arterial dissection , percutaneous , balloon , stent , cardiology , carotid endarterectomy , mechanical engineering , renal artery , engineering , kidney
A patient with bilaterally occluded internal carotid arteries had a right hemispheric stroke followed by a left cerebral infarction, secondary to dissection from fibro–muscular dysplasia, seen also in the vertebral arteries. The occluded left carotid was reopened and stents placed, with apparent reestablishment of left hemispheric blood flow. The speech and other deficits resolved. Although its use is under investigation, percutaneous balloon angioplasty with stents may be an appropriate intervention when other measures do not prevent progressive ischemic events.