{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T12:51:36Z","timestamp":1784292696448,"version":"3.55.0"},"reference-count":14,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2016,10,27]],"date-time":"2016-10-27T00:00:00Z","timestamp":1477526400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Interv Neuroradiol"],"published-print":{"date-parts":[[2017,2]]},"abstract":"<jats:p>Carotid artery dissection is a common cause of juvenile stroke. Endovascular treatment of acute stroke due to carotid dissection can be challenging, and endoluminal crossing of the dissection is sometimes impossible. We describe a case of intentional subintimal recanalisation of a cervical carotid dissection followed by intracranial thrombectomy and stenting. We report the case of a young woman with severe acute ischaemic stroke due to carotid artery dissection and intracranial embolism. After failure of endoluminal crossing of the dissected segment, intentional subintimal crossing with re-entry distally to the dissection was achieved and a stent was deployed. Then, middle cerebral artery thrombectomy was performed achieving good recanalisation. Acute thrombus formed in the bulged segment of the carotid stent and was managed with additional stent placement. The patient had a good clinical recovery. In selected cases, after failure of conventional techniques, subintimal recanalisation of carotid dissections may be performed.<\/jats:p>","DOI":"10.1177\/1591019916673220","type":"journal-article","created":{"date-parts":[[2016,10,26]],"date-time":"2016-10-26T22:30:00Z","timestamp":1477521000000},"page":"69-72","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["Intentional subintimal carotid stenting of internal carotid dissection in a patient with acute ischaemic stroke"],"prefix":"10.1177","volume":"23","author":[{"given":"Nicola","family":"Limbucci","sequence":"first","affiliation":[{"name":"Interventional Neuroradiology Unit, Careggi University Hospital, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sergio","family":"Nappini","sequence":"additional","affiliation":[{"name":"Interventional Neuroradiology Unit, Careggi University Hospital, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Rosi","sequence":"additional","affiliation":[{"name":"Interventional Neuroradiology Unit, Careggi University Hospital, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leonardo","family":"Renieri","sequence":"additional","affiliation":[{"name":"Interventional Neuroradiology Unit, Careggi University Hospital, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arturo","family":"Consoli","sequence":"additional","affiliation":[{"name":"Interventional Neuroradiology Unit, Careggi University Hospital, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Salvatore","family":"Mangiafico","sequence":"additional","affiliation":[{"name":"Interventional Neuroradiology Unit, Careggi University Hospital, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2016,10,27]]},"reference":[{"key":"bibr1-1591019916673220","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM200103223441206"},{"key":"bibr2-1591019916673220","doi-asserted-by":"publisher","DOI":"10.1038\/ncpneuro0683"},{"key":"bibr3-1591019916673220","doi-asserted-by":"publisher","DOI":"10.1016\/j.jocn.2015.12.003"},{"key":"bibr4-1591019916673220","doi-asserted-by":"publisher","DOI":"10.1227\/NEU.0b013e318209ce03"},{"key":"bibr5-1591019916673220","doi-asserted-by":"crossref","unstructured":"Jensen J, Salottolo K, Frei D, et\u00a0al. Comprehensive analysis of intra-arterial treatment for acute ischemic stroke due to cervical artery dissection.\n                      J Neurointerv Surg\n                      . Epub head of print 10 June 2016. DOI: 10.1136\/neurintsurg-2016-012421.","DOI":"10.1136\/neurintsurg-2016-012421"},{"key":"bibr6-1591019916673220","doi-asserted-by":"publisher","DOI":"10.1017\/S0317167100001724"},{"key":"bibr7-1591019916673220","doi-asserted-by":"publisher","DOI":"10.1016\/S1474-4422(15)70018-9"},{"key":"bibr8-1591019916673220","doi-asserted-by":"crossref","unstructured":"Sivan-Hoffmann R, Gory B, Armoiry X, et\u00a0al. Stent-retriever thrombectomy for acute anterior ischemic stroke with tandem occlusion: a systematic review and meta-analysis.\n                      Eur Radiol.\n                      Epub ahead of print 16 April 2016. DOI: 10.1007\/s00330-016-4338-y.","DOI":"10.1007\/s00330-016-4338-y"},{"key":"bibr9-1591019916673220","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.106.481093"},{"key":"bibr10-1591019916673220","doi-asserted-by":"publisher","DOI":"10.1136\/neurintsurg-2014-011175"},{"key":"bibr11-1591019916673220","doi-asserted-by":"publisher","DOI":"10.1007\/s00234-014-1465-5"},{"key":"bibr12-1591019916673220","doi-asserted-by":"crossref","unstructured":"Marnat G, Mourand I, Eker O, et\u00a0al. Endovascular management of tandem occlusion stroke related to internal carotid artery dissection using a distal to proximal approach: insight from the RECOST Study.\n                      AJNR Am J Neuroradiol\n                      . Epub ahead of print 10 March 2016. DOI: 10.3174\/ajnr.A4752.","DOI":"10.3174\/ajnr.A4752"},{"key":"bibr13-1591019916673220","doi-asserted-by":"publisher","DOI":"10.1016\/j.jocn.2011.02.016"},{"key":"bibr14-1591019916673220","doi-asserted-by":"crossref","unstructured":"Alkhouli M, Cole M and Ling FS. Coronary artery fenestration prior to stenting in spontaneous coronary artery dissection.\n                      Catheter Cardiovasc Interv\n                      2016; 88(1): E23\u20137. 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