Endovascular treatment of iatrogenic and traumatic carotid artery dissection.

Endovascular treatment of iatrogenic and traumatic carotid artery dissection. Research Abstract Details 

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Endovascular treatment of iatrogenic and traumatic carotid artery dissection. Abstract Text:

This paper reports on the early and midterm results of endovascular treatment of acute carotid artery dissections, its specific problems, and its limitations. We encountered seven patients with symptomatic extracranial carotid artery dissection, three cases of which occurred after carotid endarterectomy, two after carotid angioplasty and stenting, and two after trauma. Balloon-expandable and self-expanding stents were placed using a transfemoral approach. Success in restoring the carotid lumen was achieved in all patients. No procedure-related complications occurred. All patients experienced significant clinical improvement while in the hospital and achieved complete long-term recovery. At follow-up (mean, 22.4 months), good luminal patency of the stented segments was observed. In conclusion, in this small series, primary stent-supported angioplasty seems to be a safe and effective strategy in the treatment of selected patients having acute traumatic extracranial carotid artery dissection, with excellent early and midterm results. Larger series and longer-term follow-up are required before definitive recommendations can be made.

Endovascular treatment of iatrogenic and traumatic carotid artery dissection. Publishing Authors By Initials

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MEDLINE DATE: 2008 Sep-Oct

Endovascular treatment of iatrogenic and traumatic carotid artery dissection. Journal Published:

PUBLICATION TYPE: Journal Article

Journal: Cardiovascular and interventional radiology

VOLUME: 31

Page Numbers: 870-4

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ISSN: 1432-086X

DAY: 22

MONTH: 02

YEAR: 2008

Endovascular treatment of iatrogenic and traumatic carotid artery dissection. Information

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LANGUAGE: eng

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Grant and Affiliation Information for Endovascular treatment of iatrogenic and traumatic carotid artery dissection.

AFFILIATION: Department of Vascular Surgery, Hospital Porz am Rhein, Academic Teaching Hospital of the University of Cologne, Urbacher Weg 19, D-51149, Cologne, Germany.

Country: United States

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MEDLINETA: Cardiovasc Intervent Radiol

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