Treatment of extracranial internal carotid artery dissections (report of 4 cases)
ZHUANG Yan
DENG Yin-sheng
WU Min
CHEN Ze-jun
JIANG Ming
JIAO Lei
Abstract：Objective To explore the effects of antiplatelet and endovascular treatments on extracranial internal carotid artery (ICA) dissections (eICAD). Methods The clinical data of 4 patients with eICAD, of whom, 3 were treated by antiplatelet therapy and 1 by vascular plasty with stent after the antiplatelet therapy from June, 2013 to December, 2014, were analyzed retrospectively. All the patients were followed up for 6 months. Results No cerebral ischemic event occurred during the following-up in 3 patients treated by antiplateket therapy, of whom, 1 had free ICA which was occluded before the therapy and 2 had slightly narrow ICA which was severely narrow before the therapy. No cerebral ischemic event recurred and ICA narrowed before the therapy became free in 1 patient who were suffered from new cerebral ischemic event two weeks after the antiplatelet therapy and then treated by vascular plasty with stent. No intracranial hemorrhage and peripheral hemorrhage occurred in all the patients. Conclusions Antiplatelet therapy is the basic treatment in the patients with eICAD. Endovascular stenting is a rational choice in the patient who suffers from new cerebral ischemic event during the antiplatelet therapy.
Keywords：Extracranial internal carotid arteryDissectionAntiplateletStenting
Publication Date：2015-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 332-334 )