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KMID : 0880420010020010052
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Korean Journal of Radiology
2001 Volume.2 No. 1 p.52 ~ p.56
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Treatment of Internal Carotid Artery Dissections with Endovascular Stent Placement: Report of Two Cases
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Deok Hee Lee/Deok Hee Lee
Seung Mun Jung/Dae Sik Ryu/Man Soo Park/Seung Ho Hur/Hyeon Gak Kim
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Abstract
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Extracranial carotid artery dissection may manifest as arterial stenosis or occlusion, or as dissecting aneurysm formation. Anticoagulation and/or antiplatelet therapy is the first-line treatment, but because it is effective and less invasive than other procedures, endovascular treatment of carotid artery dissection has recently attracted interest. We encountered two consecutive cases of trauma-related extracranial internal carotid artery dissection, one in the suprabulbar portion and one in the subpetrosal portion. We managed the patient with suprabulbar dissection using a self-expandable metallic stent and managed the patient with subpetrosal dissection using a balloon-expandable metallic stent. In both patients the dissecting aneurysm disappeared, and at follow-up improved luminal patency was observed.
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