The application of subintimal flap fenestration in iatrogenic carotid artery dissection - finding light through the darkness.

@article{Cohen2011TheAO,
  title={The application of subintimal flap fenestration in iatrogenic carotid artery dissection - finding light through the darkness.},
  author={Jos{\'e} Enrique Cohen and John Moshe Gomori and Eyal Itshayek},
  journal={Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia},
  year={2011},
  volume={18 7},
  pages={961-3}
}
Acute iatrogenic flow-limiting dissection, a feared complication, developed in the tortuous cervical internal carotid artery (ICA) of a 35-year-old man during endovascular treatment of a growing left middle cerebral artery fusiform aneurysm. While attempting true lumen penetration, the guidewire perforated the dissection flap, regaining the true lumen. We fenestrated the intimal flap with a balloon and navigated a microcatheter through it in order to perform the intracranial embolization… CONTINUE READING

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