Nakagawa N, Akai F, Fukawa N, Yugami H, Kimoto A, Majima S, Taneda M. Endovascular Stent Placement of Cervical Internal Carotid Artery Dissection Related to a Seat-Belt Injury: A Case Report.
ACTA ACUST UNITED AC 2007;
50:115-9. [PMID:
17674300 DOI:
10.1055/s-2007-984381]
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Abstract
OBJECT
The incidence of carotid artery dissection related to blunt injury is very low, but the mortality rate is high. Rapid diagnosis and proper treatments are discussed.
CLINICAL PRESENTATION
A 48-year-old woman presented diplopia and pulsating tinnitus of the left ear. An angiography showed a carotid cavernous fistula (CCF) and dissection of the extra-cranial internal carotid artery (ICA). To treat the dissection, a self-expanding endovascular stent was used. She has been followed for 6 years without any event and the ICA is patent.
CONCLUSION
Prompt diagnosis without delay and intimate follow-up is the key for the treatment of a carotid injury. Those patients who exhibit cervical bruits and/or seat-belt signs should be examined aggressively. Angioplasty with stents is amenable for patients with traumatic carotid dissections requiring vascular reconstruction in the acute stage.
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