Extensive Stent Reconstruction for Long-Segment Symptomatic Dissections

  • Ajit S. PuriEmail author
  • Rajsrinivas Parthasarathy


A patient in her early 50s presented to the emergency department with a sudden onset of left-sided hemiplegia and neglect. The initial stroke scale was 16. CTA showed a right common carotid artery (CCA) occlusion close to its origin. An emergency MRI/MRA showed multiple small emboli in the right cerebral hemisphere with non-visualization of the right common and internal carotid arteries (Fig. 94.1a, b). Perfusion MRI showed a large penumbra on the right side (Fig. 94.1c, d). The patient was prepared for an emergency revascularization under general anesthesia.

Suggested Reading

  1. Cohen JE, et al. Emergent stenting to treat patients with carotid artery dissection. Stroke. 2003;34:e254–7.CrossRefGoogle Scholar
  2. Kadkhodayan Y, et al. Angioplasty and stenting in carotid dissection with or without associated pseudoaneurysm. Am J Neuroradiol. 2005;26(9):2328–35.PubMedGoogle Scholar

Copyright information

© The Author(s) 2019

Authors and Affiliations

  1. 1.Radiology, and Neurosurgery, Division of Neurointerventional Surgery, Neurointerventional Fellowship ProgramUniversity of Massachusetts Medical CenterWorcesterUSA
  2. 2.Vascular Neurology and Neurointerventional Surgery, Artemis Agrim Institute of NeuroscienceGurgaonIndia

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