雑誌文献を検索します。書籍を検索する際には「書籍検索」を選択してください。

検索

書誌情報 詳細検索 by 医中誌

Japanese

A Case of Traumatic Carotid Artery Dissection Treated with Mechanical Thrombectomy Followed by Carotid Artery Stenting Kentaro SHIMODA 1,2 , Kotaro MAKITA 3 , Kosei GOTO 3 , Goro KIDO 3 , Yukihide KAGAWA 3 , Nobuo KUTSUNA 2,3 1Department of Neurosurgery, Kawaguchi Municipal Medical Center 2Department of Neurological Surgery, Division of Neurosurgery, Nihon University School of Medicine 3Department of Neurosurgery, Sonoda Daiichi Hospital Keyword: traumatic carotid artery dissection , carotid artery stenting , acute revascularization , mechanical thrombectomy pp.1171-1176
Published Date 2020/12/10
DOI https://doi.org/10.11477/mf.1436204341
  • Abstract
  • Look Inside
  • Reference

 Traumatic carotid artery dissection(TCAD)is often associated with severe traumatic brain injuries and has high rates of morbidity and mortality. Here, we report a case of TCAD that was treated with mechanical thrombectomy followed by carotid artery stenting(CAS). A 50-year-old man suffered from minor facial trauma due to a motorcycle accident and had disturbance of consciousness with left hemiplegia 2 hours after sustaining the injury. Magnetic resonance imaging scans revealed cerebral infarction in a part of the middle cerebral artery territory, and magnetic resonance angiography showed cervical internal carotid artery occlusion. The patient was diagnosed with TCAD and underwent acute revascularization. Complete recanalization was with a combined technique using a stent-retriever and an aspiration catheter. Carotid angiography revealed a dissection of the internal carotid artery on the right side, and CAS was performed on the right side. Postoperatively, the patient recovered from disturbance of consciousness and left hemiplegia and was discharged once he was ambulatory. In cases of worsening symptomatology or worsening imaging findings, an endovascular approach should be considered for the treatment of TCAD.


Copyright © 2020, Igaku-Shoin Ltd. All rights reserved.

基本情報

電子版ISSN 1882-1251 印刷版ISSN 0301-2603 医学書院

関連文献

もっと見る

文献を共有