Stent-supported angioplasty for acute stroke caused by carotid dissection.
BACKGROUND
Carotid dissection is a less common but important cause of acute ischemic stroke, which has specific treatment implications.


METHODS
We describe the case of a patient with acute, fluctuating neurological symptoms found to be caused by carotid dissection who underwent endovascular stent-supported angioplasty of this lesion with good outcome.


CONCLUSIONS
Pros and cons of the various treatment options encountered in this case including intravenous thrombolysis, angioplasty and stenting, and antithrombotic therapy are discussed.


CONCLUSIONS
Endovascular treatment of carotid dissection in acute stroke can be performed safely. Treatment must ultimately be individualized to each specific case.
Zeen at Qureshi Stroke Research Center, Clinical Trails Division, Department of Neurology and Neurosciences, New Jersey Medical School, University of Medicine and Dentistry of New Jersey, Newark, NJ 07103, USA. janjuana@umdnj.edu
Nazli
N
Janjua
Adnan I
AI
Qureshi
Jawad
J
Kirmani
Patrick
P
Pullicino
D017130:Angioplasty; D020215:Carotid Artery, Internal, Dissection / Q000150:complications / Q000175:diagnosis / Q000628:therapy*; D004621:Embolization, Therapeutic; D005343:Fibrinolytic Agents / Q000008:administration & dosage; D006801:Humans; D008297:Male; D008875:Middle Aged; D015607:Stents; D020521:Stroke / Q000209:etiology / Q000628:therapy*; D016896:Treatment Outcome
D005343:Fibrinolytic Agents