{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T06:09:46Z","timestamp":1791266986035,"version":"4.1.0"},"reference-count":30,"publisher":"BMJ","issue":"10","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["J NeuroIntervent Surg"],"accepted":{"date-parts":[[2016,8,29]]},"published-print":{"date-parts":[[2017,10]]},"abstract":"<jats:sec><jats:title>Introduction<\/jats:title><jats:p>Endovascular intervention for cervical carotid artery dissection (CAD) and vertebral artery dissection (VAD) may be indicated in specific circumstances.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>To review our institutional experience with endovascular treatment of cervical dissections over the past 20\u2005years to examine indications for treatment, interventional methods, and outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Retrospective review of a prospectively maintained database to identify patients with extracranial dissection who underwent endovascular intervention between January 1996 and January 2016. Demographic data and details of procedures, outcomes, and complications were extracted.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 116 patients [93 CAD, 23 VAD; mean age 44.9\u2005years (range 5\u201376\u2005years)], 104 underwent stent placement; 11, coil occlusion of the parent artery; and 1, stenting with contralateral vessel occlusion. The cohorts were well matched for age, sex, dissection etiology, and admission and follow-up modified Rankin Scale (mRS) scores. Patients with CAD had significantly more stent placements (p&lt;0.001), failure of medical therapy (p=0.004), and interventions for enlarging pseudoaneurysms (p=0.01) or thromboembolic events (p=0.004). Patients with VAD had significantly more interventions for traumatic occlusion with recanalization (p&lt;0.001). Dissections were spontaneous (n=67), traumatic (n=36), or iatrogenic (n=13). Traumatic dissections in patients with CAD were associated with poor admission mRS scores (p=0.01). Six of 67 (9.0%) patients with spontaneous dissection reported recent chiropractic manipulation. Mean follow-up was 3.5\u2005years (range 1\u2013146\u2005months). Permanent morbidity\/mortality was 3.4%, including two deaths. Over a follow-up period of 364 patient-years, 1 stroke occurred (0.27% per year). At last follow-up, 41 previously disabled patients [CAD, 31\/93 (33.3%); VAD, 10\/23 (43.5%)] were no longer disabled; no patient reported worsened disability.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Patients with CAD and VAD differ significantly in presentation, indications for treatment, and treatment methods. Endovascular treatment of CAD and VAD has low procedural morbidity and is associated with a low incidence of future stroke.<\/jats:p><\/jats:sec>","DOI":"10.1136\/neurintsurg-2016-012565","type":"journal-article","created":{"date-parts":[[2016,9,24]],"date-time":"2016-09-24T02:49:13Z","timestamp":1474685353000},"page":"952-957","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":48,"title":["Stroke prevention by endovascular treatment of carotid and vertebral artery dissections"],"prefix":"10.1136","volume":"9","author":[{"given":"Karam","family":"Moon","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Felipe C","family":"Albuquerque","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tyler","family":"Cole","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bradley A","family":"Gross","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cameron G","family":"McDougall","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2016,9,23]]},"reference":[{"key":"2024052303173549000_9.10.952.1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM200103223441206"},{"key":"2024052303173549000_9.10.952.2","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.24.11.1678"},{"key":"2024052303173549000_9.10.952.3","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.57.11.1443"},{"key":"2024052303173549000_9.10.952.4","doi-asserted-by":"publisher","DOI":"10.1212\/01.WNL.0000063305.61050.E6"},{"key":"2024052303173549000_9.10.952.5","doi-asserted-by":"publisher","DOI":"10.1007\/s00330-006-0272-8"},{"key":"2024052303173549000_9.10.952.6","doi-asserted-by":"publisher","DOI":"10.1177\/0003319712475154"},{"key":"2024052303173549000_9.10.952.7","doi-asserted-by":"publisher","DOI":"10.1161\/STR.0000000000000024"},{"key":"2024052303173549000_9.10.952.8","doi-asserted-by":"crossref","unstructured":"Daou B , Hammer C , Chalouhi N , et al . 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