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Journal of Neuroradiology
Sous presse. Epreuves corrigées par l'auteur. Disponible en ligne depuis le samedi 7 janvier 2012
Doi : 10.1016/j.neurad.2011.10.005
Treatment of ruptured intra-cranial internal carotid artery dissection using a flow-diverter stent
Dissection rompue de l’artère carotide interne intracrânienne traitée par mise en place d’un stent « flow-diverter »
 

Guilherme S. Nakiri a, Maher Al-Khawaldeh a, Bruno Parente b, Iruena Kessler b, Benjamin Gory a, Roberto Riva a, Charbel Mounayer a, ⁎
a Department of Interventional Neuroradiology, CHU Dupuytren, 2, avenue Martin-Luther-King, 87042 Limoges, France 
b Department of Interventional Neuroradiology, University of Brasília, Brasília, Brazil 

Corresponding author.
Summary

In the presence of associated subarachnoid hemorrhage, the treatment of arterial dissection can be classified as either deconstructive (involving occlusion or sacrifice of the parent vessel) or reconstructive (preserving blood-flow through the parent vessel). In both treatment strategies, the main goal is to prevent any further risk of rebleeding. However, reconstructive treatment is reserved only for those patients in whom occlusion of the parent vessel is not feasible due to an insufficient collateral supply.

This report is of a case of intra-cranial carotid artery dissection treated by a reconstructive endovascular approach, with deployment of a flow-diverter stent, for the management of an associated subarachnoid hemorrhage. This is, to the authors’ knowledge, the first report of the use of a flow-diverter device as the main treatment of a ruptured supraclinoid carotid artery dissection.


Keywords : Flow-diverter stents, Intra-cranial dissection, Endovascular treatment, Subarachnoid hemorrhage


OutlineMasquer le plan
Introduction
Case report
Discussion
Conclusion
Disclosure of interest


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Start of article
Introduction
Case report
Discussion
Conclusion
Disclosure of interest
References