Patients With Cervical Artery Dissection

Carotid artery stenosis Microchapters
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Differentiating Carotid artery stenosis from other Diseases
Epidemiology and Demographics
Risk Factors
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Natural History, Complications and Prognosis
Diagnosis
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History and Symptoms
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MRA
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Cost-Effectiveness of Therapy
Future or Investigational Therapies
ACC/AHA Guideline Recommendations
Diagnostic Testing Guidelines Recommendation
Primary Prevention and Screening Guidelines Recommendations
Secondary Prevention Guidelines Recommendations
Selection of Patients for Carotid Revascularization
Periprocedural Management of Patients Undergoing Carotid Endarterectomy
Management of Patients Undergoing Carotid Artery Stenting
Restenosis After Carotid Endarterectomy or Stenting
Vascular Imaging in Patients With Vertebral Artery Disease
Atherosclerotic Risk Factors in Patients With Vertebral Artery Disease
Occlusive Disease of the Subclavian and Brachiocephalic Arteries
Fibromuscular Dysplasia
Cervical Artery Dissection
Case Studies
Case #1
Patients With Cervical Artery Dissection On the Web
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Ongoing Trials at Clinical Trials.gov
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NICE Guidance
FDA on Patients With Cervical Artery Dissection
CDC on Patients With Cervical Artery Dissection
Patients With Cervical Artery Dissection in the news
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Directions to Hospitals Treating Carotid artery stenosis
Risk calculators and risk factors for Patients With Cervical Artery Dissection

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Class I

"1. 1. Contrast-enhanced CTA, MRA, and catheter-based contrast angiog- raphy are useful for diagnosis of cervical artery dissection. (Level of Evidence: C)"

Class IIa

"1.For patients with symptomatic cervical artery dissection, anticoagulation with intravenous heparin (dose-adjusted to prolong the partial thromboplastin time to 1.5 to 2.0 times the control value) followed by warfarin (dose-adjusted to achieve a target INR of 2.5 [range 2.0 to 3.0]), low-molecular-weight heparin (in the dose recommended for treatment of venous thromboembolism with the selected agent) followed by warfarin (dose-adjusted to achieve a target INR of 2.5 [range 2.0 to 3.0]), or oral anticoagulation without antecedent heparin can be beneficial for 3 to 6 months, followed by antiplatelet therapy with aspirin (81 to 325 mg daily) or clopidogrel (75 mg daily). (Level of Evidence: C) "

Class IIb

"1. Duplex carotid ultrasonography might be considered for patients with nonspecific neurological symptoms when cerebral ischemia is a plausible cause. (Level of Evidence: C) "

"2. When complete carotid arterial occlusion is suggested by duplex ultrasonography, MRA, or CTA in patients with retinal or hemispheric neurological symptoms of suspected ischemic origin, catheter-based contrast angiography may be considered to determine whether the arterial lumen is sufficiently patent to permit carotid revascularization. (Level of Evidence: C) "

"3. Catheter-based angiography may be reasonable in patients with renal dysfunction to limit the amount of radiographic contrast material required for definitive imaging for evaluation of a single vascular territory. (Level of Evidence: C) "