Related Experiment Video

Updated: Jan 20, 2026

A Murine Model of Stent Implantation in the Carotid Artery for the Study of Restenosis
04:30

A Murine Model of Stent Implantation in the Carotid Artery for the Study of Restenosis

Published on: May 14, 2013

26.3K

Spontaneous Bilateral Cervical Internal Carotid Artery Dissection Treated with Simultaneous Bilateral Carotid Artery

Daiichiro Ishigami1, Takahiro Ota1

  • 1Department of Neurosurgery, Tokyo Metropolitan Tama Medical Center, Fuchu, Tokyo, Japan.

NMC Case Report Journal
|August 17, 2019
PubMed

Insights

Spontaneous bilateral cervical internal carotid artery dissection (CICAD) can cause severe stroke. Simultaneous bilateral carotid artery stenting (sbCAS) offers a safe and effective intervention for refractory cases, improving patient outcomes.

Area of Science:

  • Neurology
  • Vascular Surgery
  • Interventional Neuroradiology

Background:

  • Spontaneous cervical internal carotid artery dissection (CICAD) is a rare cause of stroke.
  • Conservative management with antithrombotics is standard for unilateral CICAD.
  • Bilateral CICAD presents a significant challenge due to potential for severe cerebral ischemia.

Observation:

  • A 46-year-old female presented with acute bilateral cerebral infarction and nearly occluded carotid arteries.
  • Despite antithrombotic therapy and hydration, her neurological status progressively worsened.
  • Cerebral angiography confirmed spontaneous bilateral CICAD.

Findings:

  • Simultaneous bilateral carotid artery stenting (sbCAS) was performed 3 days after admission.
  • A transvenous temporary pacemaker was used to maintain hemodynamic stability during the procedure.
  • The patient experienced transient hemiplegia and hoarseness, which resolved with rehabilitation.

Implications:

  • Bilateral CICAD can lead to critical cerebral hypoperfusion unresponsive to conservative treatment.
  • Early endovascular intervention, such as sbCAS, should be considered in refractory cases.
  • sbCAS, supported by hemodynamic monitoring with temporary pacing, can be a safe and effective treatment option for bilateral CICAD.

Keywords:
carotid artery dissectioncarotid artery stentingtemporary pacemaker

More Related Videos

Bilateral Common Carotid Artery Occlusion as an Adequate Preconditioning Stimulus to Induce Early Ischemic Tolerance to Focal Cerebral Ischemia07:46

Bilateral Common Carotid Artery Occlusion as an Adequate Preconditioning Stimulus to Induce Early Ischemic Tolerance to Focal Cerebral Ischemia

Published on: May 9, 2013

30.1K
Modeling Brain Metastasis by Internal Carotid Artery Injection of Cancer Cells10:01

Modeling Brain Metastasis by Internal Carotid Artery Injection of Cancer Cells

Published on: August 2, 2022

8.0K

Related Concept Videos

Arteries and Arterioles01:16

Arteries and Arterioles

Arteries, the vasculature responsible for transporting blood from the heart, possess robust walls capable of enduring the elevated pressures exerted by the heartbeat. Arteries near the heart are especially thick-walled and enriched with elastic fibers across their three tunics, classifying them as elastic or conducting arteries. These arteries, usually with a diameter exceeding 10 mm, are characterized by their ability to dilate in response to the blood pumped from the heart's ventricles...
6.3K
Arteries of Lower Limbs01:20

Arteries of Lower Limbs

The external iliac artery transitions out of the body cavity, entering the femoral region of the lower leg, and is renamed the femoral artery at the point where it traverses the body wall. This artery is responsible for the distribution of blood to the thigh's deep muscles and the skin's ventral and lateral regions, achieved through several minor branches and the lateral deep femoral artery, which also spawns a lateral circumflex artery. The knee area receives blood from the genicular...
4.3K
Arteries of the Upper Limbs01:12

Arteries of the Upper Limbs

The subclavian artery transitions into the axillary artery as it exits the chest and enters the axillary region. This artery is critical for supplying blood to the shoulder area, including the head of the humerus, through the humeral circumflex arteries. As the vessel continues into the upper arm or brachium, it becomes the brachial artery. This artery plays a key role in vascularizing the brachial region and bifurcates at the elbow into several branches. These branches include the deep...
2.2K
Overview of Systemic Arteries01:11

Overview of Systemic Arteries

The human body is a complex, well-organized machine, and at the heart of its operations lies the circulatory system. This network of blood vessels, which includes systemic arteries, plays a vital role in maintaining life by transporting nutrients, oxygen, and waste products to and from cells throughout the body.
Systemic circulation is the part of the cardiovascular system that carries oxygenated blood away from the heart to the body's tissues and returns deoxygenated blood back to the...
1.8K
Arteries of the Head and Neck01:26

Arteries of the Head and Neck

The human body's intricate network of arteries ensures that every organ system receives the necessary oxygen and nutrients for optimal function. The arterial network in the head and neck region is particularly complex, providing vital blood flow to the brain, eyes, and other critical structures. Prominent arteries in this region include the internal carotid arteries and the vertebral arteries.
The internal carotid arteries supply blood to the anterior portion of the cerebrum. They enter the...
3.0K
Spontaneity02:21

Spontaneity

A spontaneous process is one that occurs naturally under certain conditions. A nonspontaneous process, on the other hand, will not take place unless it is “driven” by the continual input of energy from an external source. Processes have a natural tendency to occur in one direction under a given set of conditions. Water will naturally flow downhill (spontaneous process), but uphill flow (nonspontaneous process) requires outside intervention such as the use of a pump. Iron exposed to...
28.8K