Carotid artery stenting assisted with intravascular ultrasonography for isolated spontaneous common carotid artery dissection

Authors

• Takahiro Sanada, The Department of Neurosurgery, Nayoro City General Hospital, Nayoro, Japan.
• Hajime Wada, The Department of Neurosurgery, Asahikawa Medical University, Asahikawa, Japan.
• Hirotaka Sato, The Department of Neurosurgery, Asahikawa Medical University, Asahikawa, Japan.
• Wakako Shirai, The Department of Neurosurgery, Nayoro City General Hospital, Nayoro, Japan.
• Manabu Kinoshita, The Department of Neurosurgery, Asahikawa Medical University, Asahikawa, Japan.
• Naoki Tokumitsu, The Department of Neurosurgery, Nayoro City General Hospital, Nayoro, Japan.

Document Type

Article

Abstract

Isolated spontaneous common carotid artery (CCA) dissection is extremely rare. Moreover, only a few case reports for isolated spontaneous CCA dissection treated with carotid artery stenting (CAS) can be found so far. Here, the authors report a case where intravascular ultrasonography (IVUS) provided valuable information about lesion evaluation, stent selection and stent placement during CAS for isolated CCA dissection. A 69-year-old male was diagnosed with an isolated spontaneous left CCA dissection. CAS assisted with IVUS was performed to prevent further dissection and cerebral infarction recurrence. To the best of our knowledge, this is the first case report of an isolated spontaneous CCA dissection treated with CAS assisted by IVUS. CAS assisted by IVUS may be an effective treatment option to prevent intraoperative complications and further stroke recurrence for isolated spontaneous CCA dissection.

Publication Date

6-1-2021

Publication Title

Journal of surgical case reports

ISSN

2042-8812

Volume

2021

Issue

6

First Page

rjab232

PubMed ID

34188795

Digital Object Identifier (DOI)

10.1093/jscr/rjab232

Recommended Citation

Sanada, Takahiro; Wada, Hajime; Sato, Hirotaka; Shirai, Wakako; Kinoshita, Manabu; and Tokumitsu, Naoki, "Carotid artery stenting assisted with intravascular ultrasonography for isolated spontaneous common carotid artery dissection" (2021). Translational Neuroscience. 2579.
https://scholar.barrowneuro.org/neurobiology/2579