Treatment of symptomatic cervical carotid dissections with endovascular stents

Ghassan K. Bejjani, Lee H. Monsein, John R. Laird, Lowell F. Satler, Benjamin W. Starnes, Edward F. Aulisi

Research output: Contribution to journalArticle

93 Citations (Scopus)

Abstract

OBJECTIVE: Symptomatic dissections of the cervical carotid artery (CCA) can be spontaneous or secondary to trauma and may be associated with pseudoaneurysms. Surgical treatment is often difficult or unavailable. We report the successful use of endovascular stents in the treatment of symptomatic dissection of the CCA. METHODS: Five consecutive patients with symptomatic CCA dissection were seen at our institution. There were four female patients and one male patient, ranging in age from 19 to 56 years. One dissection was spontaneous. The others were secondary to a gunshot wound (one patient), blunt neck trauma (two patients), and endovascular treatment of atherosclerotic carotid bifurcation disease (one patient). Balloon-expandable and self-expanding stents were placed via a transfemoral approach. RESULTS: Success in restoring the carotid lumen with two to five stents in each patient was angiographically demonstrated. There were no procedure-related complications. All patients experienced significant clinical improvement within the first 24 hours and complete long-term recovery. CONCLUSION: Symptomatic dissections of the CCA can be successfully treated by using endovascular stents.

Original languageEnglish (US)
Pages (from-to)755-761
Number of pages7
JournalNeurosurgery
Volume44
Issue number4
StatePublished - Apr 1999
Externally publishedYes

Fingerprint

Stents
Dissection
Carotid Arteries
Therapeutics
Gunshot Wounds
Carotid Artery Diseases
False Aneurysm
Neck
Wounds and Injuries

Keywords

  • Carotid artery
  • Dissection
  • Pseudoaneurysm
  • Stent
  • Trauma

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery

Cite this

Bejjani, G. K., Monsein, L. H., Laird, J. R., Satler, L. F., Starnes, B. W., & Aulisi, E. F. (1999). Treatment of symptomatic cervical carotid dissections with endovascular stents. Neurosurgery, 44(4), 755-761.

Treatment of symptomatic cervical carotid dissections with endovascular stents. / Bejjani, Ghassan K.; Monsein, Lee H.; Laird, John R.; Satler, Lowell F.; Starnes, Benjamin W.; Aulisi, Edward F.

In: Neurosurgery, Vol. 44, No. 4, 04.1999, p. 755-761.

Research output: Contribution to journalArticle

Bejjani, GK, Monsein, LH, Laird, JR, Satler, LF, Starnes, BW & Aulisi, EF 1999, 'Treatment of symptomatic cervical carotid dissections with endovascular stents', Neurosurgery, vol. 44, no. 4, pp. 755-761.
Bejjani GK, Monsein LH, Laird JR, Satler LF, Starnes BW, Aulisi EF. Treatment of symptomatic cervical carotid dissections with endovascular stents. Neurosurgery. 1999 Apr;44(4):755-761.
Bejjani, Ghassan K. ; Monsein, Lee H. ; Laird, John R. ; Satler, Lowell F. ; Starnes, Benjamin W. ; Aulisi, Edward F. / Treatment of symptomatic cervical carotid dissections with endovascular stents. In: Neurosurgery. 1999 ; Vol. 44, No. 4. pp. 755-761.
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