Korean Journal of Radiology

  • 제2권1호
  • /
  • Pages.52-56
  • /
  • 2001
  • /
  • 1229-6929(pISSN)
  • /
  • 2005-8330(eISSN)
대한영상의학회 (The Korean Society of Radiology)
권호 표지

Treatment of Internal Carotid Artery Dissections with Endovascular Stent Placement: Report of Two Cases

  • Deok Hee Lee (Department of Diagnostic Radiology, Kangnung Hospital College of Medicine, University of Ulsan) ;
  • Seung Ho Hur (Department of Neurosurgery, Kangnung Hospital College of Medicine, University of Ulsan) ;
  • Hyeon Gak Kim (Department of Neurology, Kangnung Hospital College of Medicine, University of Ulsan) ;
  • Seung Mun Jung (Department of Diagnostic Radiology, Kangnung Hospital College of Medicine, University of Ulsan) ;
  • Dae Sik Ryu (Department of Diagnostic Radiology, Kangnung Hospital College of Medicine, University of Ulsan) ;
  • Man Soo Park (Department of Diagnostic Radiology, Kangnung Hospital College of Medicine, University of Ulsan)
  • 투고 : 2000.08.27
  • 심사 : 2000.12.12
  • 발행 : 2001.03.31
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초록

Extracranial carotid artery dissection may manifest as arterial stenosis or occlusion, or as dissecting aneurysm formation. Anticoagulation and/or antiplatelet therapy is the first-line treatment, but because it is effective and less invasive than other procedures, endovascular treatment of carotid artery dissection has recently attracted interest. We encountered two consecutive cases of trauma-related extracranial internal carotid artery dissection, one in the suprabulbar portion and one in the subpetrosal portion. We managed the patient with suprabulbar dissection using a self-expandable metallic stent and managed the patient with subpetrosal dissection using a balloon-expandable metallic stent. In both patients the dissecting aneurysm disappeared, and at follow-up improved luminal patency was observed.

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참고문헌

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