Management of Carotid Artery Dissection

被引：1

作者：

Barnett, Merry Ellen D. ^{[1
]}

Lam, Lauren M. ^{[1
]}

机构：

[1] Univ Virginia, Heart & Vasc Ctr, 1215 Lee St,POB 800158, Charlottesville, VA 22908 USA

来源：

CURRENT TREATMENT OPTIONS IN CARDIOVASCULAR MEDICINE | 2025年 / 27卷 / 01期

关键词：

Carotid artery dissection; Anticoagulation; Antiplatelet; Ischemic stroke; Endovascular therapy; ISCHEMIC-STROKE; ANTITHROMBOTIC TREATMENT; THROMBOLYSIS; OUTCOMES; SAFETY;

D O I：

10.1007/s11936-024-01064-0

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Purpose of Review The authors evaluated current treatment options for carotid artery dissection, both medical and procedural. Recent Findings Recent evidence suggests that antithrombotic therapy is key for management of carotid artery dissection. Procedures are typically reserved for when medical management is ineffective, although novel classification systems for carotid artery dissection may better identify patients who will benefit from early procedural interventions. Summary Carotid artery dissections occur when a tear in the intima of the carotid artery allows for accumulation of intramural hematoma within the layers of the arterial wall. One of the more devastating outcomes is a stroke, and as such most management strategies center around treating acute stroke and preventing recurrence. More research is needed to determine the optimal approach to antithrombotic therapy.

引用

页数：7

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