Related Experiment Video

Updated: Jun 21, 2026

Novel and Innovative Hybrid Technique for Type A Aortic Dissection
06:26

Novel and Innovative Hybrid Technique for Type A Aortic Dissection

Published on: March 28, 2025

[Endovascular stent-assisted angioplasty after cervical arteries dissection]

D Cerutti1, A Bonafe, G-A Pelouze

  • 1Service de neurologie, hôpital Saint-Jean, 20, avenue du Languedoc, 66046 Perpignan cedex, France.

Revue Neurologique
|August 8, 2009
PubMed

Insights

Spontaneous cervical artery dissection can cause stroke. Endovascular stent-assisted angioplasty may restore brain perfusion when anticoagulation fails, offering a successful treatment option.

Area of Science:

  • Vascular Neurology
  • Interventional Neuroradiology

Background:

  • Spontaneous cervical artery dissection is a leading cause of stroke in young adults.
  • Anticoagulation is the standard treatment, but may be ineffective or contraindicated in some cases.

Observation:

  • A 47-year-old patient presented with spontaneous dissection of carotid and vertebral arteries.
  • Despite optimal anticoagulation, cerebral perfusion remained low.

Findings:

  • Endovascular stent-assisted angioplasty successfully improved intracranial circulation.
  • The patient experienced no immediate complications and remained complication-free at 16-month follow-up.

Implications:

  • Stent-assisted angioplasty is a viable treatment for cervical artery dissections causing chronic reduced brain perfusion.
  • This endovascular approach may offer a beneficial alternative when conservative treatments fail.
Abstract

Related Concept Videos

Aneurysm IV: Nursing Management01:22

Aneurysm IV: Nursing Management

Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
Peripheral Artery Disease III: Interprofessional Care01:27

Peripheral Artery Disease III: Interprofessional Care

Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
Aneurysm III: Interprofessional Care01:26

Aneurysm III: Interprofessional Care

Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
Coronary Artery Disease V: Interprofessional Care01:27

Coronary Artery Disease V: Interprofessional Care

Interprofessional care for coronary artery disease includes pharmacological therapy and revascularization procedures.Pharmacological therapy for Coronary Artery Disease (CAD) aims to manage symptoms, prevent complications, and improve patient outcomes through various classes of medications:Antiplatelet Agents:Aspirin and Clopidogrel: These medications inhibit platelet aggregation, preventing blood clots, which is crucial for avoiding heart attacks and strokes. Doctors often prescribe these...