Display Settings:

Format

Send to:

Choose Destination
See comment in PubMed Commons below
Front Neurol. 2010 Nov 4;1:123. doi: 10.3389/fneur.2010.00123. eCollection 2010.

Mechanical recanalization of acute carotid terminus occlusion from traumatic arterial dissection.

Author information

  • Department of Neurological Sciences, Rush University Medical Center Chicago, IL, USA.

Abstract

In the setting of an acute stroke caused by arterial dissection, navigating a microcatheter and microguidewire past the dissected artery to gain access to the distal thromboembolic lesion may exacerbate the underlying pathology. We review a case report whereby successful recanalization of an acute carotid terminus occlusion due to intimal-media dissection in the cervical carotid artery emphasizing the importance of aggressive proximal guide catheter aspiration in conjunction with flow arrest from the carotid bulb proximal to the dissection. We discuss the strengths and limitations of this approach and underscore the importance of a pathology-based approach to acute stroke therapy.

KEYWORDS:

acute stroke; arterial dissection; aspiration; carotid terminus occlusion

PMID:
21188257
[PubMed]
PMCID:
PMC3008916
Free PMC Article

Images from this publication.See all images (6)Free text

Figure 1
Figure 2
Figure 3
Figure 4
Figure 5
Figure 6
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Frontiers Media SA Icon for PubMed Central
    Loading ...
    Write to the Help Desk