Cervical artery dissection (CAD): treatment

Evidence-based neurology checklist on cervical artery dissection (cad): treatment: Anticoagulants: possible indications Severe cervical artery occlusion Associated pseudoaneurysm Presence of free-floating luminal thrombus Presence of multiple small ischaemic lesions in the same territory High…

Anticoagulants: possible indications

  • Severe cervical artery occlusion
  • Associated pseudoaneurysm
  • Presence of free-floating luminal thrombus
  • Presence of multiple small ischaemic lesions in the same territory
  • High intensity transient signals (HITS) on transcranial doppler (TCD)

Antithrombotics: indications

Antithrombotics: use

Anticoagulants v anti-thrombotics

Thrombolysis

Carotid angioplasty or stenting

Surgery

References

  1. Zinkstok SM, Vergouwen MDI, Engelter ST, et al. Safety and functional outcome of thrombolysis in dissection-related ischemic stroke: a meta-analysis of individual patient data. Stroke 2011; 42:2515-2520.
  2. Debette S, Leys D. Cervical-artery dissections: predisposing factors, diagnosis, and outcome. Lancet Neurol 2009; 8:668-678.
  3. Brott TG, Halperin JL, Abbara S, et al. 2011 ASA/ACCF/AHA/AANN/AANS/ACR/ASNR/CNS/SAIP/SCAI/SIR/SNIS/SVM/SVS guideline on the management of patients with extracranial carotid and vertebral artery disease: executive summary. Circulation 2011; 124:489-532. 
  4. Furie KL, Kasner SE, Adams RJ, et al. Guidelines for the prevention of stroke in patients with stroke or transient ischemic attack: a guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke 2011; 42:227-276.
  5. Kennedy F, Lanfranconi S, Hicks C, et al. Antiplatelets vs anticoagulation for dissection. CADISS nonrandomized arm and meta-analysis. Neurology 2012; 79:686-689.
  6. And 5 more. Subscribe to see the full list

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