%0 Journal Article
%T Endovascular repair of an acute symptomatic carotid artery dissection through the false dissecting carotid lumen
%A Andrew S Griffin
%A Erik F Hauck
%A Nicholas Befera
%J Interventional Neuroradiology
%@ 2385-2011
%D 2019
%R 10.1177/1591019918798154
%X A 48-year-old woman presented with an acute ischemic stroke (National Institutes of Health Stroke Scale (NIHSS) 21) six hours after symptom onset. Workup revealed a left cervical internal carotid artery (ICA) occlusive dissection, which was emergently reconstructed with a flow-diverting stent. A routine Duplex scan one hour later suggested reocclusion of the ICA, confirmed by angiography. The true lumen of the ICA could not be accessed and therefore the ˇ°false lumenˇ± of the ICA dissection was entered proximally. The true lumen and ultimately the flow-diverting stent were accessed via the false lumen. In analogy to the subintimal arterial flossing with antegrade-retrograde intervention technique described for peripheral vascular disease, several stents were placed in telescoping fashion from the true common carotid lumen through the ˇ°false dissectingˇ± lumen of the proximal ICA into the distal true lumen. The stent construct remained patent, and the patient recovered clinically to an NIHSS of 1
%K Dissection
%K flow diverter
%K ischemic stroke
%K stent
%U https://journals.sagepub.com/doi/full/10.1177/1591019918798154