Treatment of blunt injury to the carotid artery by using endovascular stents: an early experience

被引:105
作者
Duke, BJ
Ryu, RK
Coldwell, DM
Brega, KE
机构
[1] UNIV COLORADO,CTR HLTH SCI,DEPT SURG NEUROSURG,DENVER,CO 80204
[2] UNIV COLORADO,CTR HLTH SCI,DEPT RADIOL,DENVER,CO 80204
[3] DENVER HLTH MED CTR,DENVER,CO
关键词
carotid artery injury; stroke; stent; anticoagulation;
D O I
10.3171/jns.1997.87.6.0825
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Identification of blunt carotid injury prior to the development of ischemic symptoms requires aggressive screening of patients at risk. The treatment of these lesions has centered around long-term anticoagulation therapy. However, studies have revealed that many of these lesions persist despite medical treatment, as does the risk of distal embolization. The authors present a series of six patients who were successfully treated by means of endovascular stent placement for nonpenetrating carotid injuries. In the authors' experience this treatment requires only temporary anticoagulation therapy, results in immediate reconstruction of the injured vessel, obliterates pseudoaneurysms, and prevents distal embolization.
引用
收藏
页码:825 / 829
页数:5
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