The application of subintimal flap fenestration in iatrogenic carotid artery dissection - finding light through the darkness

被引：5

作者：

Cohen, J. E. ^{[1
,2
]}

Gomori, J. M. ^{[2
]}

Itshayek, E. ^{[1
]}

机构：

[1] Hadassah Hebrew Univ Med Ctr, Dept Neurosurg, IL-91120 Jerusalem, Israel

[2] Hadassah Hebrew Univ Med Ctr, Dept Radiol, IL-91120 Jerusalem, Israel

来源：

JOURNAL OF CLINICAL NEUROSCIENCE | 2011年 / 18卷 / 07期

关键词：

Carotid dissection; Fenestration; Intimal flap; Stents; Stroke; STENT-ASSISTED ANGIOPLASTY;

D O I：

10.1016/j.jocn.2011.02.016

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Acute iatrogenic flow-limiting dissection, a feared complication, developed in the tortuous cervical internal carotid artery (ICA) of a 35-year-old man during endovascular treatment of a growing left middle cerebral artery fusiform aneurysm. While attempting true lumen penetration, the guidewire perforated the dissection flap, regaining the true lumen. We fenestrated the intimal flap with a balloon and navigated a microcatheter through it in order to perform the intracranial embolization procedure. After aneurysm embolization, several stems were implanted for ICA restoration. (C) 2011 Elsevier Ltd. All rights reserved.

引用

页码：961 / 963

页数：3

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