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

J. E. Cohen; J. M. Gomori; E. Itshayek

doi:10.1016/j.jocn.2011.02.016

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

J. E. Cohen
, J. M. Gomori
, E. Itshayek

Hadassah University Medical Centre

Research output: Contribution to journal › Article › peer-review

8 Scopus citations

Abstract

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 stents were implanted for ICA restoration.

Original language	English
Pages (from-to)	961-963
Number of pages	3
Journal	Journal of Clinical Neuroscience
Volume	18
Issue number	7
DOIs	https://doi.org/10.1016/j.jocn.2011.02.016
State	Published - Jul 2011
Externally published	Yes

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 3 Good Health and Well-being

Keywords

Carotid dissection
Fenestration
Intimal flap
Stents
Stroke

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10.1016/j.jocn.2011.02.016

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abstract = "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 stents were implanted for ICA restoration.",

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AU - Gomori, J. M.

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N2 - 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 stents were implanted for ICA restoration.

AB - 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 stents were implanted for ICA restoration.

KW - Carotid dissection

KW - Fenestration

KW - Intimal flap

KW - Stents

KW - Stroke

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ER -

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

Abstract

UN SDGs

Keywords

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