Dissection associated with stroke is relatively uncommon. The evidence for most effective treatments options for carotid and vertebral artery dissection are constantly evolving. Possible treatment options include the following:
- Aspirin or other antiplatelet drugs – relatively well tolerated but unclear how effective
- Anticoagulation can prevent clots forming on the intimal tear but increased risk of bleeding
- Stenting can open up a blocked blood vessel and cover the tear in the intima
- Surgical repair – this is high risk surgery but may be required where the patient is bleeding. Most often done in aortic dissections
You have reached the end of this topic loop.
Page last reviewed: 25 Feb 2022
