Therapeutic Decision Making in Acute Stroke due to Carotid Artery Dissection: A Potential Role for Percutaneous Vascular Intervention following Intravenous Thrombolysis

Internal carotid artery dissection (ICAD) is an important cause of acute ischemic stroke in younger patients. Potential acute treatments include anticoagulation, intravenous thrombolysis (IVT), and endovascular thrombectomy (ET). We report a case where the use of IVT followed by ET resulted in a goo...

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Main Authors: J. B. Lewis, Á. Merwick, R. Ó. Laoide, A. O'Hare, C. McGuigan
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Case Reports in Vascular Medicine
Online Access:http://dx.doi.org/10.1155/2013/121696
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author J. B. Lewis
Á. Merwick
R. Ó. Laoide
A. O'Hare
C. McGuigan
author_facet J. B. Lewis
Á. Merwick
R. Ó. Laoide
A. O'Hare
C. McGuigan
author_sort J. B. Lewis
collection DOAJ
description Internal carotid artery dissection (ICAD) is an important cause of acute ischemic stroke in younger patients. Potential acute treatments include anticoagulation, intravenous thrombolysis (IVT), and endovascular thrombectomy (ET). We report a case where the use of IVT followed by ET resulted in a good clinical outcome in a patient with tandem internal carotid and middle cerebral artery occlusion following ICAD.
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institution Kabale University
issn 2090-6986
2090-6994
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publisher Wiley
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series Case Reports in Vascular Medicine
spelling doaj-art-bd36584ee6f645e4860fe17f129c12892025-02-03T05:59:51ZengWileyCase Reports in Vascular Medicine2090-69862090-69942013-01-01201310.1155/2013/121696121696Therapeutic Decision Making in Acute Stroke due to Carotid Artery Dissection: A Potential Role for Percutaneous Vascular Intervention following Intravenous ThrombolysisJ. B. Lewis0Á. Merwick1R. Ó. Laoide2A. O'Hare3C. McGuigan4Department of Neurology, St. Vincent's University Hospital, Elm Park, Dublin, IrelandDepartment of Neurology, Beaumont Hospital, Co. Dublin, IrelandDepartment of Radiology, St. Vincent's University Hospital, Elm Park, Dublin, IrelandDepartment of Neuroradiology, Beaumont Hospital, Co. Dublin, IrelandDepartment of Neurology, St. Vincent's University Hospital, Elm Park, Dublin, IrelandInternal carotid artery dissection (ICAD) is an important cause of acute ischemic stroke in younger patients. Potential acute treatments include anticoagulation, intravenous thrombolysis (IVT), and endovascular thrombectomy (ET). We report a case where the use of IVT followed by ET resulted in a good clinical outcome in a patient with tandem internal carotid and middle cerebral artery occlusion following ICAD.http://dx.doi.org/10.1155/2013/121696
spellingShingle J. B. Lewis
Á. Merwick
R. Ó. Laoide
A. O'Hare
C. McGuigan
Therapeutic Decision Making in Acute Stroke due to Carotid Artery Dissection: A Potential Role for Percutaneous Vascular Intervention following Intravenous Thrombolysis
Case Reports in Vascular Medicine
title Therapeutic Decision Making in Acute Stroke due to Carotid Artery Dissection: A Potential Role for Percutaneous Vascular Intervention following Intravenous Thrombolysis
title_full Therapeutic Decision Making in Acute Stroke due to Carotid Artery Dissection: A Potential Role for Percutaneous Vascular Intervention following Intravenous Thrombolysis
title_fullStr Therapeutic Decision Making in Acute Stroke due to Carotid Artery Dissection: A Potential Role for Percutaneous Vascular Intervention following Intravenous Thrombolysis
title_full_unstemmed Therapeutic Decision Making in Acute Stroke due to Carotid Artery Dissection: A Potential Role for Percutaneous Vascular Intervention following Intravenous Thrombolysis
title_short Therapeutic Decision Making in Acute Stroke due to Carotid Artery Dissection: A Potential Role for Percutaneous Vascular Intervention following Intravenous Thrombolysis
title_sort therapeutic decision making in acute stroke due to carotid artery dissection a potential role for percutaneous vascular intervention following intravenous thrombolysis
url http://dx.doi.org/10.1155/2013/121696
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