[Internal carotid artery dissection at the carotid canal after blunt trauma: case report of endovascular repair and literature review].
Symptomatic dissecting aneurysms of the extracranial internal carotid artery after blunt trauma are not frequent. Medical treatment of these lesions can be ineffective and surgical options present high morbidity. We describe a case successfully treated with endovascular therapy, using a self-expanding stent. The advantages of the endovascular treatment are outlined, the literature on carotid artery injuries by blunt trauma and management strategies are reviewed.
Mader
K
K
Klinik für Unfallchirurgie, Hand-, und Weiderherstellungschirurgie, St. Vinzenz-Hospital, Cologne. k.mader@ndh.net
Gawenda
M
M
Zähringer
M
M
Lackner
K
K
Brunkwall
J
J
D000328:Adult; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000628:therapy*; D000800:Angioplasty, Balloon; D020771:Anterior Cerebral Artery / Q000000981:diagnostic imaging; D000925:Anticoagulants / Q000008:administration & dosage; D020212:Carotid Artery Injuries / Q000000981:diagnostic imaging / Q000628:therapy*; D002343:Carotid Artery, Internal / Q000000981:diagnostic imaging; D020215:Carotid Artery, Internal, Dissection / Q000000981:diagnostic imaging / Q000628:therapy*; D002533:Cerebral Angiography; D003131:Combined Modality Therapy; D006801:Humans; D020766:Intracranial Embolism / Q000000981:diagnostic imaging / Q000628:therapy; D008297:Male; D020768:Middle Cerebral Artery / Q000000981:diagnostic imaging; D015607:Stents; D015912:Thrombolytic Therapy; D010959:Tissue Plasminogen Activator / Q000627:therapeutic use; D014057:Tomography, X-Ray Computed; D014949:Wounds, Nonpenetrating / Q000000981:diagnostic imaging / Q000628:therapy*
D000925:Anticoagulants; D010959:Tissue Plasminogen Activator