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Related Experiment Videos

Bilateral traumatic internal carotid artery dissections: case report.

J L Ballard1, T J Bunt, B Fitzpatrick

  • 1Maricopa Medical Center, Department of Surgery, Phoenix, AZ 85010.

Journal of Vascular Surgery
|February 1, 1992
PubMed
Summary

Bilateral internal carotid artery dissections are rare after blunt trauma. This case shows progression despite anticoagulation, necessitating complex carotid reconstruction.

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Area of Science:

  • Neuroscience
  • Vascular Surgery
  • Trauma Surgery

Background:

  • Bilateral internal carotid artery dissections are uncommon sequelae of blunt cervicofacial trauma.
  • Current management typically mirrors unilateral dissection protocols, primarily anticoagulation.
  • Concerns exist regarding adequate cerebral perfusion with bilateral carotid stenosis.

Observation:

  • A patient presented with bilateral type B internal carotid artery dissections post-trauma.
  • The condition progressed despite standard anticoagulant therapy.
  • This necessitated an unusual surgical intervention for carotid reconstruction.

Findings:

  • Anticoagulation alone may be insufficient for managing bilateral internal carotid artery dissections.
  • Progression of stenosis can occur even with therapeutic anticoagulation.

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  • Complex carotid reconstruction may be required in severe or progressive cases.

    • Implications:

    • Challenges the standard anticoagulation approach for bilateral carotid dissections.
    • Highlights the need for vigilant monitoring and potential alternative treatments.
    • Suggests a potential role for advanced surgical techniques in managing complex dissections.