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Case Reports in Vascular Medicine
Volume 2013, Article ID 121696, 3 pages
Case Report

Therapeutic Decision Making in Acute Stroke due to Carotid Artery Dissection: A Potential Role for Percutaneous Vascular Intervention following Intravenous Thrombolysis

1Department of Neurology, St. Vincent's University Hospital, Elm Park, Dublin, Ireland
2Department of Neurology, Beaumont Hospital, Co. Dublin, Ireland
3Department of Radiology, St. Vincent's University Hospital, Elm Park, Dublin, Ireland
4Department of Neuroradiology, Beaumont Hospital, Co. Dublin, Ireland

Received 11 November 2012; Accepted 27 January 2013

Academic Editors: S. Guldiken, N. Kuriyama, and A. Zirlik

Copyright © 2013 J. B. Lewis et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Internal carotid artery dissection (ICAD) is an important cause of acute ischemic stroke in younger patients. Potential acute treatments include anticoagulation, intravenous thrombolysis (IVT), and endovascular thrombectomy (ET). We report a case where the use of IVT followed by ET resulted in a good clinical outcome in a patient with tandem internal carotid and middle cerebral artery occlusion following ICAD.