Clinical case of successful treatment of internal carotid artery dissection during aneurysm embolization in acute period of subarachnoid hemorrhage

Radiol Case Rep. 2020 Jun 7;15(8):1173-1179. doi: 10.1016/j.radcr.2020.05.038. eCollection 2020 Aug.

Abstract

Artery dissection during embolization of an intracranial aneurysm is not a frequent complication. In most cases, the tactics of treatment are limited to the appointment of anticoagulants or balloon angioplasty. We present a clinical case of successful treatment of a woman of 47 years. Dissection of the internal carotid artery occurred during aneurysm embolization in the acute period of subarachnoid hemorrhage and required coronary stent implantation. The absence in the long-term period of signs of restenosis or mechanical damage to the coronary stent in the installed position indicates the possibility of implanting it in the indicated position in urgent situations. The clinical significance of the described case consists in combining sequentially rarely occurring events one after another.

Keywords: Aneurysms; Dissection; Hemorrhage; Internal carotid artery; Subarachnoid hemorrhage.

Publication types

  • Case Reports