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Stent assisted endovascular thrombolysis of internal carotid artery dissection

¹ Department of Neurology and Stroke Center, Bichat University Hospital and Medical School, Denis Diderot University-Paris VII, France
² The Department of Interventional Neuroradiology, Lariboisiere Hospital, Denis Diderot University-Paris VII, France
³ Department of Neurology and Stroke Center, Bichat University Hospital and Medical School, Denis Diderot University-Paris VII, France

Correspondence to:
Correspondence to:
Halim Abboud
Department of Neurology and Stroke Center, Bichat Hospital, 46 rue Henri Huchard, F-75018 Paris, France; halim.abboud@bch.ap-hop-paris.fr

Keywords: endovascular therapy; carotid stenting; intra-arterial thrombolysis; spontaneous carotid dissection

The first 150 words of the full text of this article appear below.

Spontaneous dissection of the extracranial internal carotid artery (ICA) is a major cause of stroke with severe residual handicap in young adults.¹ Recently, stent supported angioplasty has been used to treat intimal dissection in case of neurological symptoms while on anticoagulation or as an alternative to the traditionally accepted use of anticoagulation.^2,3 We report a case of internal carotid artery dissection causing hemiplegia successfully treated with emergent endovascular stenting followed by intra-arterial thrombolysis.

Case report
A 44 year old right handed man was admitted to the emergency room after an acute episode of left side weakness, which resolved within three hours. The patient had been well until the onset of symptoms. There was no history of trauma, strenuous exercise, hypertension, or other medical problems. In the week prior to admission, he reported intermittent headaches and right sided neck pain after four days of diving. A cranial computed tomography (CT) scan was normal. . . . [Full text of this article]

This article has been cited by other articles:

				P. C. Lavallee, M. Mazighi, J.-P. Saint-Maurice, E. Meseguer, H. Abboud, I. F. Klein, E. Houdart, and P. Amarenco Stent-Assisted Endovascular Thrombolysis Versus Intravenous Thrombolysis in Internal Carotid Artery Dissection With Tandem Internal Carotid and Middle Cerebral Artery Occlusion Stroke, August 1, 2007; 38(8): 2270 - 2274. [Abstract] [Full Text] [PDF]

				A. Biondi, J. M. Katz, J. Vallabh, A. Z. Segal, and Y. P. Gobin Progressive Symptomatic Carotid Dissection Treated With Multiple Stents Stroke, September 1, 2005; 36(9): e80 - e82. [Abstract] [Full Text] [PDF]