{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,5]],"date-time":"2026-11-05T07:33:40Z","timestamp":1793864020071,"version":"4.6.1"},"reference-count":10,"publisher":"BMJ","issue":"1","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2020,1,8]]},"published-print":{"date-parts":[[2020,1]]},"abstract":"<jats:p>Intracranial carotid artery dissections are challenging, as there are no specific guidelines for their treatment, and most research suggests solutions for treating those involving extracranial vessels. We describe a patient with an acute ischaemic stroke within the territory of the right internal carotid artery, who was found to have intracranial carotid artery dissection during the thrombectomy procedure. The dissected lumen was successfully reconstructed via deployment of a Derivo flow-diverter stent. A balloon-assisted \u2018jacking\u2019 manoeuvre, in which a balloon is partially inflated at the beginning of the dissection to serve as leverage, was used to overcome the challenge of navigating the microcatheter tip through the stenosis proximal to the dissection. This case demonstrates the feasibly and safety of stenting with a flow diverter in a patient with internal carotid artery dissection; however, further studies are needed to confirm this finding.<\/jats:p>","DOI":"10.1136\/bcr-2019-231612","type":"journal-article","created":{"date-parts":[[2020,1,22]],"date-time":"2020-01-22T05:16:04Z","timestamp":1579670164000},"page":"e231612","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Flow-diverter reconstruction of an intracranial internal carotid artery dissection during thrombectomy for acute ischaemic stroke"],"prefix":"10.1136","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9192-5994","authenticated-orcid":false,"given":"Laura Ludovica","family":"Gramegna","sequence":"first","affiliation":[{"name":"IRCCS Istituto Delle Scienze Neurologiche di Bologna, Bologna, Italy"},{"name":"Department of Biomedical and Neuromotor Sciences (DIBINEM), University of Bologna, Bologna, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anal\u00eda","family":"Cardozo","sequence":"additional","affiliation":[{"name":"Department of Radiology, Interventional Neuroradiology Section, Vall d'Hebron University Hospital, Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edgar","family":"Folleco","sequence":"additional","affiliation":[{"name":"Department of Radiology, Fundaci\u00f3n Cl\u00ednica Valle del Lili, Cali, Valle del Cauca, Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alejandro","family":"Tomasello","sequence":"additional","affiliation":[{"name":"Department of Radiology, Interventional Neuroradiology Section, Vall d'Hebron University Hospital, Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2020,1,21]]},"reference":[{"key":"2025082803351497000_13.1.e231612.1","doi-asserted-by":"publisher","DOI":"10.1016\/S1474-4422(15)00009-5"},{"key":"2025082803351497000_13.1.e231612.2","doi-asserted-by":"publisher","DOI":"10.1227\/NEU.0b013e318209ce03"},{"key":"2025082803351497000_13.1.e231612.3","doi-asserted-by":"publisher","DOI":"10.3171\/2011.1.JNS091806"},{"key":"2025082803351497000_13.1.e231612.4","first-page":"430","article-title":"Angioplasty and stent placement in intracranial atherosclerotic stenoses and dissections","volume":"23","author":"Lylyk","year":"2002","journal-title":"AJNR Am J Neuroradiol"},{"key":"2025082803351497000_13.1.e231612.5","unstructured":"Osborn AG . Introduction to Cerebral Angiography Harper & Row (ISBN: 1980 0061418293, 9780061418297). 3nd edn, 2019."},{"key":"2025082803351497000_13.1.e231612.6","unstructured":"Lanzer P . Microvascular techniques: a guide to excellence. 1st edn. 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