Carotid artery dissection is a recognised cause of acute ischemic stroke. When the stroke is directly attributable to cervical artery dissection, the clinical presentation and treatment decisions have distinct features that require careful, guideline-informed management.
This protocol addresses patients with acute ischemic stroke attributable to cervical artery dissection. Acute treatment strategies are a reasonable consideration in otherwise eligible patients in this specific setting.
In patients with ongoing neurological deficits related to reduced distal perfusion, an endovascular approach to the affected dissected vessel segment may be part of the management pathway. The complete protocol — including patient selection, procedural criteria, and the full decision algorithm — is contained in the structured evidence-based regimen.
DOI: 10.1161/STR.0000000000000457