Treatment for Carotid Dissection
Your carotid dissection may need to be treated in a hospital. Treatment choices depend on your age, overall health, and symptoms.
A carotid dissection is a tear or separation in the inner layer of an artery in the neck. You have a carotid artery on each side of your neck. These arteries send blood to your brain.
Types of treatment
You may need to be treated in a hospital. Treatment choices depend on the underlying cause, your age, overall health, and symptoms. Treatment may include:
Clot-busting medicine (thrombolytic), if your dissection caused a stroke
Heparin to prevent more blood clots
IV (intravenous) fluids
Blood pressure medicine
Insulin or glucose to control your blood sugar
Pain medicine
Antiplatelet medicine, such as aspirin
Blood-thinning medicine, such as warfarin
Endovascular treatment using stent or balloon placement
You may need to take blood-thinning medicine for 3 to 6 months. At that point, you may need imaging tests. These are done to see how your carotid artery is healing.
If you have carotid dissection again, your healthcare provider may advise you to get other treatment. You may need surgery to put in a stent, or to fix or bypass the artery.
Call 911
A TIA is often called a "ministroke." It doesn't cause permanent damage, so people often ignore the symptoms. But a TIA may signal a full-blown stroke and needs medical attention right away.
Call
Sudden drooping, numbness, or weakness of your face
Sudden numbness or weakness in an arm or leg
Sudden trouble speaking
Sudden confusion
Sudden trouble seeing in one or both eyes
Sudden trouble walking, dizziness, lack of balance or coordination
Sudden severe headache with no known cause