Stent-supported angioplasty for acute stroke caused by carotid dissection

Introduction: Carotid dissection is a less common but important cause of acute ischemic stroke, which has specific treatment implications. Case record: We describe the case of a patient with acute, fluctuating neurological symptoms found to be caused by carotid dissection who underwent endovascular stent-supported angioplasty of this lesion with good outcome. Discussion: Pros and cons of the various treatment options encountered in this case including intravenous thrombolysis, angioplasty and stenting, and antithrombotic therapy are discussed. Conclusion: Endovascular treatment of carotid dissection in acute stroke can be performed safely. Treatment must ultimately be individualized to each specific case.