Computed Tomography Perfusion Can Guide Endovascular Therapy in Bilateral Carotid Artery Dissection

Computed Tomography Perfusion Can Guide Endovascular Therapy in Bilateral Carotid Artery Dissection

Carotid artery dissection (CAD) is a major cause of stroke in those under age 45, accounting for around 20% of ischaemic events[1,2]. In the absence of known connective tissue disorders, most dissections are traumatic[2]. First-line management is comprised of antiplatelet or anticoagulation therapy,...

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Main Authors: Isuru Induruwa, Chloe Bentham, Kayvan Khadjooi, Nikhil Sharma
Format: Article
Language:English
Published: SMC MEDIA SRL 2015-12-01
Series:European Journal of Case Reports in Internal Medicine
Subjects:
Stroke, carotid, carotid artery dissection, CT perfusion, stenting, endovascular
Online Access:http://ejcrim.com/index.php/EJCRIM/article/view/295
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spelling doaj-ddb166835c254a388bd37ebfe6fd3c392020-11-24T23:46:56ZengSMC MEDIA SRLEuropean Journal of Case Reports in Internal Medicine2284-25942015-12-013110.12890/2015_000295128Computed Tomography Perfusion Can Guide Endovascular Therapy in Bilateral Carotid Artery DissectionIsuru Induruwa0Chloe Bentham1Kayvan Khadjooi2Nikhil Sharma3Addenbrookes Hospital NHS Foundation TrustAddenbrookes Hospital NHS Foundation TrustAddenbrookes Hospital NHS Foundation TrustThe National Hospital of Neurology and Neurosurgery, London, UK.Carotid artery dissection (CAD) is a major cause of stroke in those under age 45, accounting for around 20% of ischaemic events[1,2]. In the absence of known connective tissue disorders, most dissections are traumatic[2]. First-line management is comprised of antiplatelet or anticoagulation therapy, but many traumatic dissections progress despite this and carry the risk of long-term complications from embolism or stenosis[3]. We report a case of traumatic bilateral carotid dissection leading to progressive neurological symptoms and hypoperfusion on computed tomography perfusion (CTP), despite escalation in anticoagulation, which led to emergency carotid stenting.http://ejcrim.com/index.php/EJCRIM/article/view/295Stroke, carotid, carotid artery dissection, CT perfusion, stenting, endovascular
collection DOAJ
language English
format Article
sources DOAJ
author Isuru Induruwa
Chloe Bentham
Kayvan Khadjooi
Nikhil Sharma
spellingShingle Isuru Induruwa
Chloe Bentham
Kayvan Khadjooi
Nikhil Sharma
Computed Tomography Perfusion Can Guide Endovascular Therapy in Bilateral Carotid Artery Dissection
European Journal of Case Reports in Internal Medicine
Stroke, carotid, carotid artery dissection, CT perfusion, stenting, endovascular
author_facet Isuru Induruwa
Chloe Bentham
Kayvan Khadjooi
Nikhil Sharma
author_sort Isuru Induruwa
title Computed Tomography Perfusion Can Guide Endovascular Therapy in Bilateral Carotid Artery Dissection
title_short Computed Tomography Perfusion Can Guide Endovascular Therapy in Bilateral Carotid Artery Dissection
title_full Computed Tomography Perfusion Can Guide Endovascular Therapy in Bilateral Carotid Artery Dissection
title_fullStr Computed Tomography Perfusion Can Guide Endovascular Therapy in Bilateral Carotid Artery Dissection
title_full_unstemmed Computed Tomography Perfusion Can Guide Endovascular Therapy in Bilateral Carotid Artery Dissection
title_sort computed tomography perfusion can guide endovascular therapy in bilateral carotid artery dissection
publisher SMC MEDIA SRL
series European Journal of Case Reports in Internal Medicine
issn 2284-2594
publishDate 2015-12-01
description Carotid artery dissection (CAD) is a major cause of stroke in those under age 45, accounting for around 20% of ischaemic events[1,2]. In the absence of known connective tissue disorders, most dissections are traumatic[2]. First-line management is comprised of antiplatelet or anticoagulation therapy, but many traumatic dissections progress despite this and carry the risk of long-term complications from embolism or stenosis[3]. We report a case of traumatic bilateral carotid dissection leading to progressive neurological symptoms and hypoperfusion on computed tomography perfusion (CTP), despite escalation in anticoagulation, which led to emergency carotid stenting.
topic Stroke, carotid, carotid artery dissection, CT perfusion, stenting, endovascular
url http://ejcrim.com/index.php/EJCRIM/article/view/295
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AT kayvankhadjooi computedtomographyperfusioncanguideendovasculartherapyinbilateralcarotidarterydissection
AT nikhilsharma computedtomographyperfusioncanguideendovasculartherapyinbilateralcarotidarterydissection
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