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patients with spontaneous vertebral artery dissection (sVAD). Methods—Clinical treatment or a history of hypertension (systolic blood pressure [BP]. 160 mm Hg .. Society of Hypertension guidelines for the management of hypertension. Guideline on the Management of Patients with Extracranial Carotid and Vertebral Artery Rupture of vertebral artery dissection aneurysm during 3D DSA. 18 Jan 2018 Dissection occurs when structural integrity of the arterial wall is co. of Chest Physicians Evidence-Based Clinical Practice Guidelines. Differential features of carotid and vertebral artery dissections: the CADISP study. Vertebral artery dissection (VAD) is a flap-like tear of the inner lining of the vertebral artery, Treatment is usually with either antiplatelet drugs such as aspirin or with anticoagulants such as heparin or warfarin. .. Professional guidelines in the UK recommend that patients with VA dissection should be enrolled in a clinical In 2011, the US extracranial carotid and vertebral artery disease management guidelines recommended that symptomatic CAD patients be subjected to oral anticoagulant therapy with warfarin (INR2.0~3.0) for 3 to 6 months after intravenous heparin and then switched to long-term use of aspirin or clopidogrel antiplatelet 17 Jan 2017 Medications. No clear guidelines exist on the duration of anticoagulation in patients with VAD. Consider treatment regimens of 3-6 months or until radiographic resolution is established by either MRI or follow-up angiography. 27 Jun 2018 Background: Dissection of the internal carotid and vertebral arteries is were systematically searched according to the recommendations ofACCF/AHA Pocket Guideline. Based on With Extracranial Carotid and Vertebral Artery Disease. . Management of Patients With Cervical Artery Dissection . First-line treatment for cervical artery dissection usually is antiplatelet agents (such as aspirin) or anti-coagulation to prevent the formation of blood clots. These medications prevent blood clot formation and thus can help protect against stroke. Spontaneous dissection of the carotid and vertebral arteries. N Engl J Society of Hypertension guidelines for the management of hypertension. J Hypertens.