Gabriel Sthefano Atique, Beteli Camila Baumann, Aluize de Menezes Emanuele, Gonçalves Ana Carolina, Gonçalves Gabriela Lopes, Marcinkevicius Jéssica Aparecida, Nascimento Letícia Machado, Capelin Pereira Rafaela Maria
Vascular and Endovascular Surgery Department, União das Faculdades dos Grandes Lagos (UNILAGO) Medical School, São Paulo, Brazil.
Vascular and Endovascular Surgery Department, União das Faculdades dos Grandes Lagos (UNILAGO) Medical School, São Paulo, Brazil.
Ann Vasc Surg. 2019 Nov;61:466.e1-466.e5. doi: 10.1016/j.avsg.2019.04.028. Epub 2019 Jul 22.
Bilateral traumatic internal carotid artery (ICA) dissection after CrossFit training is an extremely rare and life-threatening condition associated with high risk of cerebral ischemia. Several imaging modalities are involved in its clinical evaluation and clinical decision-making. Anticoagulation and antiplatelet management, endovascular therapy, and open surgical intervention are the available options for ICA dissection treatment. This report details a bilateral traumatic ICA dissection after CrossFit training treated with antiplatelet and anticoagulation therapy.
CrossFit训练后双侧创伤性颈内动脉（ICA）夹层是一种极其罕见且危及生命的疾病，伴有脑缺血的高风险。其临床评估和临床决策涉及多种成像方式。抗凝和抗血小板治疗、血管内治疗以及开放手术干预是治疗ICA夹层的可用选择。本报告详细介绍了一例经抗血小板和抗凝治疗的CrossFit训练后双侧创伤性ICA夹层病例。
