Carotid artery dissection: Endovascular treatment. Report of 12 patients

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dc.contributor.authorFava, Mario
dc.contributor.authorMeneses, Luis
dc.contributor.authorLoyola, Soledad
dc.contributor.authorTevah, Jose
dc.contributor.authorBertoni, Hernan
dc.contributor.authorHuetel, Isidro
dc.contributor.authorMellado, Patricio
dc.date.accessioned2024-01-10T13:11:33Z
dc.date.available2024-01-10T13:11:33Z
dc.date.issued2008
dc.description.abstractObjective: The purpose of this article is to report our experience with endovascular treatment of internal carotid artery (ICA) dissection with the use of stents. Background: Carotid Dissection is an important cause of ischemic stroke in young and middle-aged patients. There are some patients in whom invasive management is recommended. Methods: Twelve patients (eight females, four males), mean age of 50 years (range 3580 years) with ICA dissection, were treated with the endovascular approach during a 24-month period. Patients included in this study underwent magnetic resonance (MR) and digital subtraction angiography (DSA) for diagnosis. Over this time period, 162 patients with ICA dissections were seen at our institution. Indications for endovascular treatment were: recurrent ischemic events despite adequate anticoagulant treatment in seven cases, contraindication to anticoagulation in four cases, and one case with significant mismatch between diffusion and perfusion weighted MR. Eleven dissections were spontaneous and one was traumatic. The follow-up was performed clinically with Doppler ultrasound (US) and MR at 6, 12, and 24 months. Results: Stent deployment was successful in all cases. Acute symptoms were resolved in 66.7% of patients. No patients deteriorated their neurological status. There were no new clinical events, stent stenosis or occlusion on 24 months follow-up. Conclusion: Our results showed an excellent clinical outcome of the treated patients. This suggests promising results with the use of endovascular treatment in selected patients. (c) 2008 Wiley-Liss, Inc.
dc.fechaingreso.objetodigital04-04-2024
dc.format.extent7 páginas
dc.fuente.origenWOS
dc.identifier.doi10.1002/ccd.21483
dc.identifier.issn1522-1946
dc.identifier.pubmedidMEDLINE:18360842
dc.identifier.urihttps://doi.org/10.1002/ccd.21483
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/78061
dc.identifier.wosidWOS:000254720900027
dc.information.autorucMedicina;Fava M;S/I;52076
dc.information.autorucMedicina;Huete I;S/I;98812
dc.information.autorucMedicina;Loyola S;S/I;86957
dc.information.autorucMedicina;Mellado P;S/I;3552
dc.information.autorucMedicina;Meneses L;S/I;10742
dc.information.autorucMedicina;Tevah J;S/I;100258
dc.issue.numero5
dc.language.isoen
dc.nota.accesoContenido parcial
dc.pagina.final700
dc.pagina.inicio694
dc.publisherWILEY-LISS
dc.revistaCATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS
dc.rightsacceso restringido
dc.subjectcarotid artery
dc.subjectinternal
dc.subjectstents
dc.subjectangioplasty
dc.subjectSTENT PLACEMENT
dc.subjectMANAGEMENT
dc.subjectANGIOPLASTY
dc.subjectCOMMUNITY
dc.subjectANEURYSMS
dc.subject.ods03 Good Health and Well-being
dc.subject.odspa03 Salud y bienestar
dc.titleCarotid artery dissection: Endovascular treatment. Report of 12 patients
dc.typeartículo
dc.volumen71
sipa.codpersvinculados52076
sipa.codpersvinculados98812
sipa.codpersvinculados86957
sipa.codpersvinculados3552
sipa.codpersvinculados10742
sipa.codpersvinculados100258
sipa.indexWOS
sipa.indexScopus
sipa.trazabilidadCarga SIPA;09-01-2024
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