CASE REPORT article
Front. Med.
Sec. Intensive Care Medicine and Anesthesiology
Volume 12 - 2025 | doi: 10.3389/fmed.2025.1626194
This article is part of the Research TopicCase Reports in Intensive Care Medicine 2025View all 6 articles
Emergent carotid artery stenting with tirofiban in a patient with traumatic intracranial hemorrhage and carotid artery dissection: A case report
Provisionally accepted
- Sichuan Academy of Medical Sciences and Sichuan Provincial People's Hospital, Chengdu, China
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Endovascular therapy is an effective treatment for large vessel occlusion, including carotid artery dissection (CAD). However, when large vessel occlusion in acute ischemic stroke (AIS) patients with concomitant intracranial hemorrhage (ICH), it is difficult for clinician to make decision. We report a patient in their 60s who was admitted due to sudden right limb weakness.Emergency CT/CTA showed a hematoma on the right parietal lobe and possible carotid artery dissection of left internal carotid artery. The patient received emergent carotid artery stenting (eCAS) and tirofiban post-surgery. Six-months follow-up showed no new bleeding, recovery of clinical function and no re-stenosis. For patients with AIS due to CAD encountered ICH, eCAS with tirofiban may benefit patients. But our results still need further research to confirm.
Keywords: Acute cerebral infarction, Carotid artery dissection, case report, Endovascular Therapy, emergent carotid artery stenting, Traumatic intracranial hemorrhage
Received: 10 May 2025; Accepted: 31 Jul 2025.
Copyright: © 2025 Yang, Wang, Huang, Guo and Li. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Bing-Hu Li, Sichuan Academy of Medical Sciences and Sichuan Provincial People's Hospital, Chengdu, China
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