Journal: Interventional Neurology

Article Title: Stent Reconstruction of Carotid Tonsillar Loop Dissection Using Telescoping Peripheral Stents

doi: 10.1159/000486457

Figure Lengend Snippet: Patient demographics, presentation, treatment, and outcomes

Article Snippet: ICA, internal carotid artery. table ft1 table-wrap mode="anchored" t5 Table 1 caption a7 Patient 1 Patient 2 Demographics Age, years 41 56 Gender male female Vascular risk factors Hypertension yes no Hyperlipidemia no no Diabetes no no Tobacco no no Presentation Cause spontaneous spontaneous NIHSS 16 14 Location of dissection left ICA 360° coil right ICA 360° coil Location of tandem occlusion left M2 right M1 Treatment Thrombectomy technique MAT left M2 MAT right Ml MAT system 6-F Neuron MAX (Penumbra, Alameda, CA, USA) (0.088” ID), triaxial system (Catalyst 6 AXS distal access catheter [Stryker Neurovascular, Fremont, CA, USA], Headway 27 microcatheter [MicroVention, Tustin, CA, USA], Synchro micro-guidewire [Stryker Neurovascular]) 6-F Penumbra Neuron MAX (0.088” ID), triaxial system (Catalyst 6 AXS distal access catheter [Stryker Neurovascular], Marksman microcatheter [Medtronic, Minneapolis, MN, USA], Fathom micro-guidewire [Stryker Neurovascular]) mTICI score 2B 2B Pre-stenting treatment Heparin drip, 5,000 U heparin IV, 325 mg aspirin PR 5,000 U heparin IV, 15 mg eptifibatide IV, 325 mg aspirin, and 600 mg clopidogrel PO Stent system Zilver self-expanding (5×40, 5×30, 6×40 mm) (Cook Medical, Bloomington, IN, USA), Navien 072 delivery catheter (Medtronic), V18 300 cm microwire (Stryker Neurovascular) Zilver self-expanding (5×40, 5×30 mm) (Cook Medical), Navien 072 delivery catheter (Medtronic), V18 300 cm microwire (Stryker Neurovascular) Post-stenting treatment SBP 100–140 mm Hg; aspirin 81 mg and clopidogrel 75 mg QD, atorvastatin 80 mg QHS SBP 100–140 mm Hg; aspirin 81 mg and clopidogrel 75 mg QD, atorvastatin 40 mg QHS Outcomes Discharge NIHSS 0 0 3-month mRS 1 1 Open in a separate window NIHSS, National Institutes of Health stroke scale; ICA, internal carotid artery; MAT, manual aspiration thrombectomy; mTICI, modified Treatment in Cerebral Ischemia scale; IV, intravenous; PR, per rectum; PO, per os; SBP, systolic blood pressure; QD, daily; QHS, at bedtime; mRS, modified Rankin scale.

Techniques: Dissection