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Primary stent implantation for bilateral spontaneous cervical ICA dissections with hypoperfusion after 72 h from onset: a case report
BACKGROUND: Spontaneous cervical internal carotid artery dissection (cICAD) is a common cause of stroke in young adults. Endovascular therapy is an indispensable treatment for cICAD in some cases, but it faces great challenges. CASE PRESENTATION: A bilateral spontaneous cICADs with hypoperfusion-rel...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer International Publishing
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9375808/ https://www.ncbi.nlm.nih.gov/pubmed/35962854 http://dx.doi.org/10.1186/s42155-022-00318-x |
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author | Chen, Yijie Zhang, Ningyuan Chen, Yigang Zheng, Xu Jin, Xing Zhang, Jinhua |
author_facet | Chen, Yijie Zhang, Ningyuan Chen, Yigang Zheng, Xu Jin, Xing Zhang, Jinhua |
author_sort | Chen, Yijie |
collection | PubMed |
description | BACKGROUND: Spontaneous cervical internal carotid artery dissection (cICAD) is a common cause of stroke in young adults. Endovascular therapy is an indispensable treatment for cICAD in some cases, but it faces great challenges. CASE PRESENTATION: A bilateral spontaneous cICADs with hypoperfusion-related AIS after 72 h from the onset was presented herein. The patient responded well to primary Solitaire stent detachment at the critical flow-limiting site. CONCLUSIONS: Primary stent implantation at the critical flow-limiting site rather than covering the entire dissection may be a therapeutic option in spontaneous cICAD complicated with cerebral hypoperfusion. The Solitaire stent may be a good choice at the acute and subacute stages of cICAD. |
format | Online Article Text |
id | pubmed-9375808 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Springer International Publishing |
record_format | MEDLINE/PubMed |
spelling | pubmed-93758082022-08-15 Primary stent implantation for bilateral spontaneous cervical ICA dissections with hypoperfusion after 72 h from onset: a case report Chen, Yijie Zhang, Ningyuan Chen, Yigang Zheng, Xu Jin, Xing Zhang, Jinhua CVIR Endovasc Case Report BACKGROUND: Spontaneous cervical internal carotid artery dissection (cICAD) is a common cause of stroke in young adults. Endovascular therapy is an indispensable treatment for cICAD in some cases, but it faces great challenges. CASE PRESENTATION: A bilateral spontaneous cICADs with hypoperfusion-related AIS after 72 h from the onset was presented herein. The patient responded well to primary Solitaire stent detachment at the critical flow-limiting site. CONCLUSIONS: Primary stent implantation at the critical flow-limiting site rather than covering the entire dissection may be a therapeutic option in spontaneous cICAD complicated with cerebral hypoperfusion. The Solitaire stent may be a good choice at the acute and subacute stages of cICAD. Springer International Publishing 2022-08-13 /pmc/articles/PMC9375808/ /pubmed/35962854 http://dx.doi.org/10.1186/s42155-022-00318-x Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Case Report Chen, Yijie Zhang, Ningyuan Chen, Yigang Zheng, Xu Jin, Xing Zhang, Jinhua Primary stent implantation for bilateral spontaneous cervical ICA dissections with hypoperfusion after 72 h from onset: a case report |
title | Primary stent implantation for bilateral spontaneous cervical ICA dissections with hypoperfusion after 72 h from onset: a case report |
title_full | Primary stent implantation for bilateral spontaneous cervical ICA dissections with hypoperfusion after 72 h from onset: a case report |
title_fullStr | Primary stent implantation for bilateral spontaneous cervical ICA dissections with hypoperfusion after 72 h from onset: a case report |
title_full_unstemmed | Primary stent implantation for bilateral spontaneous cervical ICA dissections with hypoperfusion after 72 h from onset: a case report |
title_short | Primary stent implantation for bilateral spontaneous cervical ICA dissections with hypoperfusion after 72 h from onset: a case report |
title_sort | primary stent implantation for bilateral spontaneous cervical ica dissections with hypoperfusion after 72 h from onset: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9375808/ https://www.ncbi.nlm.nih.gov/pubmed/35962854 http://dx.doi.org/10.1186/s42155-022-00318-x |
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