Korean Journal of Radiology

The Korean Society of Radiology (대한영상의학회)
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Treatment of Internal Carotid Artery Dissections with Endovascular Stent Placement: Report of Two Cases

  • Deok Hee Lee (Department of Diagnostic Radiology, Kangnung Hospital College of Medicine, University of Ulsan) ;
  • Seung Ho Hur (Department of Neurosurgery, Kangnung Hospital College of Medicine, University of Ulsan) ;
  • Hyeon Gak Kim (Department of Neurology, Kangnung Hospital College of Medicine, University of Ulsan) ;
  • Seung Mun Jung (Department of Diagnostic Radiology, Kangnung Hospital College of Medicine, University of Ulsan) ;
  • Dae Sik Ryu (Department of Diagnostic Radiology, Kangnung Hospital College of Medicine, University of Ulsan) ;
  • Man Soo Park (Department of Diagnostic Radiology, Kangnung Hospital College of Medicine, University of Ulsan)
  • Received : 2000.08.27
  • Accepted : 2000.12.12
  • Published : 2001.03.31
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Abstract

Extracranial carotid artery dissection may manifest as arterial stenosis or occlusion, or as dissecting aneurysm formation. Anticoagulation and/or antiplatelet therapy is the first-line treatment, but because it is effective and less invasive than other procedures, endovascular treatment of carotid artery dissection has recently attracted interest. We encountered two consecutive cases of trauma-related extracranial internal carotid artery dissection, one in the suprabulbar portion and one in the subpetrosal portion. We managed the patient with suprabulbar dissection using a self-expandable metallic stent and managed the patient with subpetrosal dissection using a balloon-expandable metallic stent. In both patients the dissecting aneurysm disappeared, and at follow-up improved luminal patency was observed.

Keywords

References

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