{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T17:31:24Z","timestamp":1786728684617,"version":"build-2736575974"},"reference-count":16,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","license":[{"start":{"date-parts":[[2024,10,1]],"date-time":"2024-10-01T00:00:00Z","timestamp":1727740800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:p>Carotid endarterectomy (CEA) is an established method of stroke prevention in patients with severe carotid artery stenosis, especially in those with symptomatic disease. Complications of CEA include perioperative stroke, cranial nerve palsy, hemorrhage, and vascular dissection. We present an unusual case of a 66-year-old man who presented for elective right CEA for symptomatic 70% right internal carotid artery (ICA) stenosis due to ulcerated plaque. Following surgery, the patient developed fluctuating neurological deficits consistent with involvement of the right middle cerebral artery territory. Imaging revealed possible mild clamp-induced ICA dissection limited to the ICA in the neck. Despite initial successful anticoagulation management in the neurointensive care unit, the patient returned 2 days later with stroke symptoms, necessitating urgent endovascular intervention. Neurovascular interventions involved aspiration thrombectomy and multiple stenting extending distally into intracranial ICA, which successfully restored cerebral arterial perfusion and normal neurological function. This case highlights the first reported instance of extensive intracranial ICA dissection managed with full-length stenting. This article offers an effective endovascular procedure for preventing a devastating stroke from a complication of a procedure that was performed to prevent it.<\/jats:p>","DOI":"10.4103\/bc.bc_59_24","type":"journal-article","created":{"date-parts":[[2024,12,27]],"date-time":"2024-12-27T17:01:46Z","timestamp":1735318906000},"page":"366-371","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Neurovascular management of intracranial internal carotid artery dissection post-carotid endarterectomy: A case report of an innovative approach"],"prefix":"10.4103","volume":"10","author":[{"given":"Bibhas","family":"Amatya","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, University of Maryland School of Medicine, Baltimore, MD, USA"},{"name":"Department of Surgery, Division of Vascular Surgery, University of Maryland School of Medicine, Baltimore, MD, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ameet V.","family":"Chitale","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Inova Fairfax Hospital, Falls Church, VA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dipankar","family":"Mukherjee","sequence":"additional","affiliation":[{"name":"Department of Surgery, Inova Fairfax Hospital, Falls Church, VA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2024,12,28]]},"reference":[{"key":"R2-20260423","first-page":"CD001081","article-title":"Carotid endarterectomy for symptomatic carotid stenosis","volume":"9","author":"Rerkasem","year":"2020","journal-title":"Cochrane Database Syst Rev"},{"key":"R3-20260423","doi-asserted-by":"crossref","first-page":"82","DOI":"10.1212\/CON.0000000000000424","article-title":"Diagnosis and management of transient ischemic attack","volume":"23","author":"Coutts","year":"2017","journal-title":"Continuum (Minneap Minn)"},{"key":"R4-20260423","first-page":"e43263.","article-title":"Medical and surgical management of symptomatic and asymptomatic carotid artery stenosis: A Comprehensive literature review","volume":"15","author":"Mohd","year":"2023","journal-title":"Cureus"},{"key":"R5-20260423","doi-asserted-by":"crossref","first-page":"491","DOI":"10.1016\/0741-5214(85)90110-7","article-title":"Iatrogenic vascular injury during peripheral revascularization","volume":"2","author":"Bunt","year":"1985","journal-title":"J Vasc Surg"},{"key":"R6-20260423","doi-asserted-by":"crossref","first-page":"281","DOI":"10.1016\/j.ejvs.2016.03.021","article-title":"Fate of distal false aneurysms complicating internal carotid artery dissection: A systematic review","volume":"52","author":"Paraskevas","year":"2016","journal-title":"Eur J Vasc Endovasc Surg"},{"key":"R7-20260423","doi-asserted-by":"crossref","first-page":"e46","DOI":"10.1161\/STR.0000000000000158","article-title":"2018 guidelines for the early management of patients with acute ischemic stroke: A guideline for healthcare professionals from the American Heart Association\/American Stroke Association","volume":"49","author":"Powers","year":"2018","journal-title":"Stroke"},{"key":"R8-20260423","doi-asserted-by":"crossref","first-page":"2160","DOI":"10.1161\/STR.0000000000000024","article-title":"Guidelines for the prevention of stroke in patients with stroke and transient ischemic attack: A guideline for healthcare professionals from the American Heart Association\/American Stroke Association","volume":"45","author":"Kernan","year":"2014","journal-title":"Stroke"},{"key":"R9-20260423","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1161\/01.STR.24.1.35","article-title":"Classification of subtype of acute ischemic stroke. 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