{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T09:49:47Z","timestamp":1773308987820,"version":"3.50.1"},"reference-count":25,"publisher":"Cambridge University Press (CUP)","issue":"1","license":[{"start":{"date-parts":[[2014,12,2]],"date-time":"2014-12-02T00:00:00Z","timestamp":1417478400000},"content-version":"unspecified","delay-in-days":4687,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Can. j. neurol. sci."],"published-print":{"date-parts":[[2002,2]]},"abstract":"<jats:sec id=\"S0317167100001724_abs1\"><jats:title>Background and Purpose:<\/jats:title><jats:p>To delineate factors associated with the successful endovascular treatment of extracranial carotid dissections, the authors review their management of 13 cases.<\/jats:p><\/jats:sec><jats:sec id=\"S0317167100001724_abs2\"><jats:title>Methods:<\/jats:title><jats:p>The records of 12 patients with 13 dissections were assessed with reference to mechanism of dissection, preoperative symptoms, presence of a pseudoaneurysm, treatment success, and etiology of treatment failure. Patients were followed prospectively and included six men and six women, ranging in age from 27 to 62 years.<\/jats:p><\/jats:sec><jats:sec id=\"S0317167100001724_abs3\"><jats:title>Results:<\/jats:title><jats:p>Angioplasty and stenting were performed successfully in 11 of 13 procedures (10 of 12 patients). Follow-up in these 10 patients demonstrated excellent patency through the stented segment in nine of the 11 treated vessels. Two patients, both of whom suffered their original dissection as a result of endarterectomy, required further angioplasty and stenting for stenosis outside the previously treated arterial segment. Regarding the treatment failures, a stent deployment device could not navigate a tortuous loop in one, while a microwire could not be advanced beyond a pseudoaneurysm in the second. Six patients had pseudoaneurysms, four of which were treated only with stenting across the dissected arterial segment. All pseudoaneurysms treated in this fashion resolved. No permanent complications occurred as a result of endovascular therapy.<\/jats:p><\/jats:sec><jats:sec id=\"S0317167100001724_abs4\"><jats:title>Conclusions:<\/jats:title><jats:p>Angioplasty and stenting can be performed safely to manage carotid dissection. A pseudoaneurysm or tortuous anatomy can preclude therapy although the former typically resolves if angioplasty and stenting are feasible. Dissections secondary to endarterectomy may be associated with a higher rate of restenosis after stenting and may require further treatment.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s0317167100001724","type":"journal-article","created":{"date-parts":[[2014,12,12]],"date-time":"2014-12-12T15:37:05Z","timestamp":1418398625000},"page":"54-60","source":"Crossref","is-referenced-by-count":39,"title":["Carotid Dissection: Technical Factors Affecting Endovascular Therapy"],"prefix":"10.1017","volume":"29","author":[{"given":"Felipe C.","family":"Albuquerque","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patrick P.","family":"Han","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert F.","family":"Spetzler","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joseph M.","family":"Zabramski","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cameron G.","family":"McDougall","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2014,12,2]]},"reference":[{"key":"S0317167100001724_ref017","doi-asserted-by":"publisher","DOI":"10.1136\/pgmj.74.867.7"},{"key":"S0317167100001724_ref002","doi-asserted-by":"publisher","DOI":"10.1097\/00006123-199904000-00037"},{"key":"S0317167100001724_ref024","first-page":"622","article-title":"Treatmentof dissecting pseudoaneurysm of the cervical internal carotid artery using a wall stent and detachable coils: case report","volume":"40","author":"Perez-Cruet","year":"1997","journal-title":"Neurosurgery"},{"key":"S0317167100001724_ref019","first-page":"175","article-title":"Angioplasty andstenting in carotid artery dissection","volume":"40","author":"Griewing","year":"1998","journal-title":"Eur Neurol"},{"key":"S0317167100001724_ref025","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1999.90.4.0688"},{"key":"S0317167100001724_ref018","first-page":"392","article-title":"Stent deployment resolves apetrous carotid artery angioplasty dissection","volume":"19","author":"Dorros","year":"1998","journal-title":"AJNR Am JNeuroradiol"},{"key":"S0317167100001724_ref022","doi-asserted-by":"publisher","DOI":"10.1016\/S0090-3019(97)00461-8"},{"key":"S0317167100001724_ref021","first-page":"693","article-title":"Use of intravascular stents in the treatment of internal carotid and extracranial vertebral artery pseudoaneurysms","volume":"17","author":"Horowitz","year":"1996","journal-title":"AJNR Am JNeuroradiol"},{"key":"S0317167100001724_ref020","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9149(96)00808-9"},{"key":"S0317167100001724_ref023","doi-asserted-by":"publisher","DOI":"10.1097\/00006123-199802000-00138"},{"key":"S0317167100001724_ref008","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.25.4.889"},{"key":"S0317167100001724_ref013","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.20.3.412"},{"key":"S0317167100001724_ref004","doi-asserted-by":"publisher","DOI":"10.1097\/00006123-199810000-00139"},{"key":"S0317167100001724_ref015","doi-asserted-by":"publisher","DOI":"10.1016\/0741-5214(91)90093-A"},{"key":"S0317167100001724_ref007","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1988.68.2.0189"},{"key":"S0317167100001724_ref006","doi-asserted-by":"publisher","DOI":"10.1097\/00006123-199912000-00022"},{"key":"S0317167100001724_ref005","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-510X(97)00287-6"},{"key":"S0317167100001724_ref014","first-page":"673","article-title":"Management of carotidartery trauma","volume":"104","author":"Richardson","year":"1988","journal-title":"Surgery"},{"key":"S0317167100001724_ref010","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.56.11.1191"},{"key":"S0317167100001724_ref009","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199402103300604"},{"key":"S0317167100001724_ref016","doi-asserted-by":"publisher","DOI":"10.1016\/S0741-5214(95)70150-8"},{"key":"S0317167100001724_ref011","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM200103223441206"},{"key":"S0317167100001724_ref012","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1997.87.6.0825"},{"key":"S0317167100001724_ref003","first-page":"235","article-title":"Time course of symptoms in extracranial carotid artery dissections","volume":"26","author":"Biousse","year":"1995","journal-title":"A series of 80 patients. Stroke"},{"key":"S0317167100001724_ref001","doi-asserted-by":"publisher","DOI":"10.1227\/00006123-199107000-00015"}],"container-title":["Canadian Journal of Neurological Sciences \/ Journal Canadien des Sciences Neurologiques"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0317167100001724","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,4,11]],"date-time":"2019-04-11T07:27:47Z","timestamp":1554967667000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0317167100001724\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2002,2]]},"references-count":25,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2002,2]]}},"alternative-id":["S0317167100001724"],"URL":"https:\/\/doi.org\/10.1017\/s0317167100001724","relation":{},"ISSN":["0317-1671","2057-0155"],"issn-type":[{"value":"0317-1671","type":"print"},{"value":"2057-0155","type":"electronic"}],"subject":[],"published":{"date-parts":[[2002,2]]}}}