A case of carotid artery dissection after surgical repair of aortic dissection successfully treated with endovascular therapy using intravascular ultrasound

  • Hiromasa Katoh
  • Tsuyoshi Nozue
  • Hiroshi Nagamine
  • Yushi Kawase
  • Ichiro Michishita
Case Report
First Online:
Received:
Accepted:

Abstract

A 71-year-old woman developed the dissection from right brachiocephalic trunk (BCT) to internal carotid artery 6 days after the operation of ascending aortic dissection. Since no improvement of symptoms was observed despite conservative therapy, we performed endovascular therapy (EVT). Although a balloon-expandable stent was implanted in the BCT to seal the entry point of the dissection, the true lumen of the carotid artery was still compressed. Thus, we covered the dissected lesion completely with multiple stents, and her neurological findings improved. This case demonstrates that EVT using multiple stents is an effective strategy to manage dissection of supra-aortic branches.

Keywords

Carotid artery dissection Endovascular therapy Multiple stents Intravascular ultrasound 
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Notes

Conflict of interest

The authors have no conflict of interest to disclose.

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Copyright information

© Japanese Association of Cardiovascular Intervention and Therapeutics 2013

Authors and Affiliations

  • Hiromasa Katoh
    • 1
  • Tsuyoshi Nozue
    • 1
  • Hiroshi Nagamine
    • 2
  • Yushi Kawase
    • 2
  • Ichiro Michishita
    • 1
  1. 1.Division of Cardiology, Department of Internal MedicineYokohama Sakae Kyosai Hospital, Federation of National Public Service Personnel Mutual AssociationsYokohamaJapan
  2. 2.Department of Thoracic and Cardiovascular SurgeryYokohama Sakae Kyosai Hospital, Federation of National Public Service Personnel Mutual AssociationsYokohamaJapan

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