{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T01:20:50Z","timestamp":1781659250624,"version":"3.54.5"},"reference-count":12,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,8,13]],"date-time":"2025-08-13T00:00:00Z","timestamp":1755043200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Med."],"abstract":"<jats:p>Endovascular therapy (EVT) is an effective treatment for large vessel occlusion, including carotid artery dissection (CAD). However, when large vessel occlusion (LVO) occurs in acute ischemic stroke (AIS) patients with concomitant intracranial hemorrhage (ICH), it can be difficult for clinicians to make a treatment decision. We report the case of a patient in their 60s who was admitted due to sudden right limb weakness. Emergency computed tomography (CT)\/CTA showed a hematoma in the right parietal lobe and a possible dissection of the left internal carotid artery. The patient underwent emergent carotid artery stenting (eCAS) followed by postoperative tirofiban administration. At six-month follow-up, there was no evidence of new bleeding, clinical function had recovered, and no re-stenosis was observed. For patients with AIS due to CAD complicated by ICH, eCAS combined with tirofiban may offer clinical benefits. However, further research is still needed to confirm our findings.<\/jats:p>","DOI":"10.3389\/fmed.2025.1626194","type":"journal-article","created":{"date-parts":[[2025,8,13]],"date-time":"2025-08-13T06:30:44Z","timestamp":1755066644000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["Emergent carotid artery stenting with tirofiban in a patient with traumatic intracranial hemorrhage and carotid artery dissection: a case report"],"prefix":"10.3389","volume":"12","author":[{"given":"Shu","family":"Yang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jian-Hong","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bin","family":"Huang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fu-Qiang","family":"Guo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bing-Hu","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2025,8,13]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"101","DOI":"10.1007\/s00415-024-12842-y","article-title":"Long-term outcome of endovascular thrombectomy in patients with acute ischemic stroke: a systematic review and meta-analysis","volume":"272","author":"Wu","year":"2025","journal-title":"J Neurol"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"111093","DOI":"10.1016\/j.jocn.2025.111093","article-title":"Endovascular thrombectomy for large vessel occlusion in acute ischemic stroke patients with concomitant intracranial hemorrhage","volume":"134","author":"Elfil","year":"2025","journal-title":"J Clin Neurosci"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"421","DOI":"10.1016\/j.ncl.2014.12.002","article-title":"Diagnosis and treatment of cervical artery dissection","volume":"33","author":"Engelter","year":"2015","journal-title":"Neurol Clin"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"426","DOI":"10.1007\/s00415-025-13166-1","article-title":"Management of cervical artery dissection: new evidence and future directions","volume":"272","author":"Kaufmann","year":"2025","journal-title":"J Neurol"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"e213465","DOI":"10.1212\/WNL.0000000000213465","article-title":"Functional outcome in patients with carotid artery dissection undergoing thrombectomy or standard medical treatment","volume":"104","author":"Sykora","year":"2025","journal-title":"Neurology"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"47","DOI":"10.1186\/s42155-025-00564-9","article-title":"Emergency endovascular treatment of stroke due to cervical artery dissection - impact of periprocedural GP IIb\/IIIa inhibitor use on clinical outcome","volume":"8","author":"Sornalingam","year":"2025","journal-title":"CVIR Endovasc"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"e91","DOI":"10.1161\/STR.0000000000000457","article-title":"Treatment and outcomes of cervical artery dissection in adults: a scientific statement from the American Heart Association","volume":"55","author":"Yaghi","year":"2024","journal-title":"Stroke"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"613","DOI":"10.1161\/STROKEAHA.124.048743","article-title":"Optimal duration of dual antiplatelet therapy after carotid artery stenting: a Nationwide cohort study","volume":"56","author":"Yoo","year":"2025","journal-title":"Stroke"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"e3","DOI":"10.1161\/STROKEAHA.119.027827","article-title":"Stenting for acute carotid artery dissection","volume":"51","author":"Brown","year":"2020","journal-title":"Stroke"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"8","DOI":"10.1016\/j.atherosclerosis.2020.09.002","article-title":"Carotid stent occlusion after emergent stenting in acute ischemic stroke: incidence, predictors and clinical relevance","volume":"313","author":"Ren\u00fa","year":"2020","journal-title":"Atherosclerosis"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"697","DOI":"10.1136\/jnis-2024-021845","article-title":"Tirofiban versus aspirin to prevent in-stent thrombosis after emergent carotid artery stenting in acute ischemic stroke","volume":"17","author":"Medina-Rodriguez","year":"2025","journal-title":"J Neurointerv Surg"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"243","DOI":"10.1136\/jnis-2023-020204","article-title":"Antithrombotic regimen in emergent carotid stenting for acute ischemic stroke due to tandem occlusion: a meta-analysis of aggregate data","volume":"16","author":"Diana","year":"2024","journal-title":"J Neurointerv Surg"}],"container-title":["Frontiers in Medicine"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fmed.2025.1626194\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,13]],"date-time":"2025-08-13T06:30:45Z","timestamp":1755066645000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fmed.2025.1626194\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8,13]]},"references-count":12,"alternative-id":["10.3389\/fmed.2025.1626194"],"URL":"https:\/\/doi.org\/10.3389\/fmed.2025.1626194","relation":{},"ISSN":["2296-858X"],"issn-type":[{"value":"2296-858X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,8,13]]},"article-number":"1626194"}}