Endovascular Stent Placement for Acute Ischemic Cerebral Infarction Secondary to Long-segment Internal Carotid Artery...

Internal carotid artery dissection (ICAD) is a common cause of acute ischemic stroke (AIS). Although it accounts for only 2% of all strokes, it accounts for 10% to 25% of strokes in young and middle-aged people. It is the most common cause of stroke in patients under 55 years of age. This is a report of a patient with acute ischemic cerebral infarction caused by long-segment ICAD who missed the time window for thrombolysis, which was delayed due to the patient's specific presentation. Atypical clinical manifestations led to diagnostic and therapeutic delays. Three endovascular stents were deployed in the internal carotid artery, and good postoperative patency of the occluded vessel was achieved. Improvement of the patient's neurological function and other symptoms was noticeable when observed 24 hours after surgery. The results of the review 3 months after the surgical treatment were satisfactory. This report aims to provide some replicable experiences in the diagnosis and treatment of acute ischemic cerebral infarction due to ICAD in this case.