Emergency carotid artery stenting for progressive traumatic internal carotid artery occlusion

When she arrived at our emergency department, her consciousness was clear, and assessment of vital signs revealed: heart rate, 62 beats/min; blood pressure, 174/119 mm Hg; respiration rate, 16 breaths/min; and saturation of percutaneous oxygen level, 100%. (C, D) Anteroposterior view (C) and lateral view (D) show recovery of antegrade blood flow with cerebral circulation in the right hemisphere after endovascular carotid artery stenting in the stenotic area of the right ICA. CAI reportedly shows higher mortality rates than VAI, with significant factors including reduced level of consciousness with Glasgow Coma Scale less than 6, presence of pyramidal bone fracture, diffuse axonal injury, and facial bone fracture (Le Fort type II/III).