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Internal Carotid Artery Dissection Treated with C-Guard Stent
Giancarlo Saal-Zapata1, Walter Durand1, Dante Valer1
1Department of Neurosurgery, Endovascular Neurosurgery Service, Hospital Nacional Guillermo Almenara Irigoyen-EsSalud, La Victoria, Lima, Peru.
Insights
Internal carotid artery dissection, a common cause of stroke in young adults, can be treated with stenting. The C-Guard stent effectively treated two cases of cervical internal carotid artery dissection without complications.
Area of Science:
- Neurology
- Vascular Surgery
- Interventional Cardiology
Background:
- Internal carotid artery dissection is a leading cause of stroke in young individuals.
- Treatment is indicated for stroke, pseudoaneurysm, or cerebral flow impairment due to narrowed arteries.
- Current treatment options include antithrombotic drugs and endovascular stenting.
Observation:
- The C-Guard stent, an open cell mesh-covered dual layer stent, has demonstrated efficacy in reducing stroke incidence post-operatively for internal carotid artery stenosis.
- This study presents two cases of cervical internal carotid artery dissection.
Findings:
- Both cases of internal carotid artery dissection were successfully treated using the C-Guard stent.
- No complications were observed following the endovascular treatment.
Implications:
- The C-Guard stent shows promise as a safe and effective treatment option for internal carotid artery dissections.
- This approach may help reduce stroke incidence and improve cerebral blood flow in younger populations affected by this condition.
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.
