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Int J Angiol 2022; 31(01): 061-066
DOI: 10.1055/s-0040-1708839
Case Report

Internal Carotid Artery Dissection Treated with C-Guard Stent

Giancarlo Saal-Zapata 
1   Department of Neurosurgery, Endovascular Neurosurgery Service, Hospital Nacional Guillermo Almenara Irigoyen—EsSalud, La Victoria, Lima, Peru
,
Walter Durand
1   Department of Neurosurgery, Endovascular Neurosurgery Service, Hospital Nacional Guillermo Almenara Irigoyen—EsSalud, La Victoria, Lima, Peru
,
Dante Valer
1   Department of Neurosurgery, Endovascular Neurosurgery Service, Hospital Nacional Guillermo Almenara Irigoyen—EsSalud, La Victoria, Lima, Peru
,
Rodolfo Rodríguez
1   Department of Neurosurgery, Endovascular Neurosurgery Service, Hospital Nacional Guillermo Almenara Irigoyen—EsSalud, La Victoria, Lima, Peru
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Abstract

Internal carotid dissection is the most common cause of stroke in the young population. Stroke, the presence of a pseudoaneurysm, and decreased artery lumen with cerebral flow impairment are indications for treatment. Medical therapy with antithrombotic drugs and endovascular therapy with stenting are the main available options. The C-Guard stent is an open cell mesh-covered dual layer stent that has been mainly used in cases of internal carotid artery stenosis with a post-operative reduction in stroke incidence. Thus, we present two cases of internal carotid artery dissections of the cervical segment treated with the open cell dual-layer C-Guard stent without complications.

Keywords

dissection - stent - pseudoaneurysm - anticoagulation - stroke - internal carotid artery - dual antiplatelet therapy


Publication History

Article published online:
28 April 2020

© 2020. International College of Angiology. This article is published by Thieme.

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