CAROTID ARTERY STENTING IN CERVICAL DISSECTION
https://doi.org/10.30629/2658-7947-2019-24-4-23-30
Abstract
A description of two cases of ischemic stroke with a progressive course on background of dissection of internal carotid artery (ICA) in young women is presented. In the fi rst observation patient developed headache, severe rightsided hemiparesis and sensorimotor aphasia. In digital subtraction angiography dissection subocclusion of left ICA was visualized, after that thrombectomy, intra-arterial thrombolysis and stenting were sequentially performed with achievement complete recanalization, accompanied by regress of paresis. In the second observation, mild leftsided hemiparesis developed, which grew after 4 days, hemianopsia and dysarthria appeared. Based on the results of emergency digital subtraction angiography, a dissection subocclusion of the right ICA was visualized. Using of tandem stenting, complete recanalization was achieved, accompanied by an increase in strength in the limbs and vision improvement. The literature review about the effi cacy and safety of stenting in dissection is presented.
About the Authors
E. A. Pokalenko
E.A. Vagner Perm State Medical University
Russian Federation
Perm
Russian Federation
Perm
K. N. Dultsev
Perm Region City Сlinical Рospital №4
Russian Federation
Perm
Russian Federation
Perm
A. A. Kulesh
E.A. Vagner Perm State Medical University,
Perm Region City Сlinical Рospital №4
Russian Federation
Russian Federation
doctor of medical sciences, professor of neurology department of postinitial education faculty, head of the neurological department for stroke patients
Perm
V. E. Drobakha
E.A. Vagner Perm State Medical University,
Perm Region City Сlinical Рospital №4
Russian Federation
Perm
Russian Federation
Perm
O. G. Karakulov
Perm Region City Сlinical Рospital №4
Russian Federation
Perm
Russian Federation
Perm
V. V. Shestakov
E.A. Vagner Perm State Medical University
Russian Federation
Perm
Russian Federation
Perm
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Review
For citations:
Pokalenko E.A., Dultsev K.N., Kulesh A.A., Drobakha V.E., Karakulov O.G., Shestakov V.V. CAROTID ARTERY STENTING IN CERVICAL DISSECTION. Russian neurological journal. 2019;(4):23-30. (In Russ.) https://doi.org/10.30629/2658-7947-2019-24-4-23-30
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