Combined neuroendovascular stenting and coil embolization for cervical carotid artery dissection causing symptomatic mass effect

Ryuta Saito, Masayuki Ezura, Akira Takahashi, Takashi Yoshimoto

Research output: Contribution to journalArticlepeer-review

22 Citations (Scopus)

Abstract

BACKGROUND. Carotid artery dissection manifesting with symptomatic mass effect has been treated surgically according to the previous literature. Recently, some cases of carotid artery dissection manifesting with ischemic symptoms were treated successfully with endovascular insertion of coils after stenting. METHODS. A 42-year-old man with spontaneous dissection of the left cervical internal carotid artery (ICA) presented with the major complaint of left neck swelling and pain that was considered to be the mass effect of a pseudoaneurysm caused by dissection of the ICA. Endovascular therapy using a stent and coils was performed. The self-expanding stent was deployed to cover the neck of the pseudoaneurysm. A microcatheter was then guided through the stent mesh into the aneurysm, and coils were placed to pack it. RESULTS. Four months later, angiography revealed complete embolization of the aneurysm with preserved flow in the ICA. The mass effect attributable to the pseudoaneurysm was relieved symptomatically as well as radiologically. CONCLUSION. Cervical artery dissection with symptomatic mass effect can be treated successfully by the combination of stent and coils. This may be considered as an alternative to conventional proximal ligation, extracranial-intracranial bypass, or direct surgical repair. Copyright (C) 2000 Elsevier Science Inc.

Original languageEnglish
Pages (from-to)318-322
Number of pages5
JournalSurgical Neurology
Volume53
Issue number4
DOIs
Publication statusPublished - 2000 Apr 1
Externally publishedYes

Keywords

  • Dissection
  • Guglielmi detachable coil
  • Internal carotid artery
  • Mass effect
  • Neuroendovascular therapy
  • Pseudoaneurysm
  • Stent

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

Fingerprint Dive into the research topics of 'Combined neuroendovascular stenting and coil embolization for cervical carotid artery dissection causing symptomatic mass effect'. Together they form a unique fingerprint.

Cite this