Treatment of Carotid Artery Dissection Presenting as Acute Ischemic Stroke
This protocol addresses patients presenting with acute ischemic stroke attributable to cervical artery dissection — a distinct subset requiring consideration of acute reperfusion strategies applied in the context of an underlying arterial injury.
In otherwise eligible patients, a mechanical intervention targeting vessel occlusion may be appropriate when large-vessel involvement is confirmed. The full eligibility criteria, procedural context, and complete management algorithm are detailed in the structured protocol…
In patients with acute ischemic stroke attributable to cervical artery dissection, acute treatment strategies such as thrombolysis and mechanical thrombectomy are reasonable in otherwise eligible patients.
It is reasonable to perform mechanical thrombectomy in otherwise eligible patients with a large-vessel occlusion in the setting of cervical artery dissection.
The need for emergent mechanical thrombectomy in patients with cervical artery dissection is based on existing criteria for thrombectomy in patients with acute large-vessel occlusion.
DOI: 10.1161/STR.0000000000000457
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