Surgical Exploration and Endarterectomy for Symptomatic Carotid Web With Retained Thrombus
Background Symptomatic carotid web with retained thrombus represents a potential source of embolic strokes. However, the absence of diagnostic guidelines contributes to heterogeneity in management recommendations. Methods We present a patient with a right middle cerebral artery stroke attributable t...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2024-03-01
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| Series: | Stroke: Vascular and Interventional Neurology |
| Online Access: | https://www.ahajournals.org/doi/10.1161/SVIN.123.001170 |
| _version_ | 1797221082036436992 |
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| author | Juan Felipe Daza‐Ovalle Charles Esenwa Matthew Carnevale James Hu Richard L. Zampolin Evan Lipsitz |
| author_facet | Juan Felipe Daza‐Ovalle Charles Esenwa Matthew Carnevale James Hu Richard L. Zampolin Evan Lipsitz |
| author_sort | Juan Felipe Daza‐Ovalle |
| collection | DOAJ |
| description | Background Symptomatic carotid web with retained thrombus represents a potential source of embolic strokes. However, the absence of diagnostic guidelines contributes to heterogeneity in management recommendations. Methods We present a patient with a right middle cerebral artery stroke attributable to carotid web with retained thrombus. Confirmation was obtained through surgical exploration, given the inconclusive imaging but strong index of suspicion. Results The presence of carotid web with retained thrombus was confirmed through surgical exploration. Cervical endarterectomy was performed and a carotid web with an associated thrombus was successfully resected. Conclusion We highlight the importance of having a high index of suspicion and prompt treatment to mitigate the risk of recurrent strokes when suspecting carotid web with retained thrombus. |
| first_indexed | 2024-03-07T14:54:33Z |
| format | Article |
| id | doaj.art-78309c11f53c4ca385e1e2a5612d4956 |
| institution | Directory Open Access Journal |
| issn | 2694-5746 |
| language | English |
| last_indexed | 2024-04-24T12:59:46Z |
| publishDate | 2024-03-01 |
| publisher | Wiley |
| record_format | Article |
| series | Stroke: Vascular and Interventional Neurology |
| spelling | doaj.art-78309c11f53c4ca385e1e2a5612d49562024-04-05T16:12:23ZengWileyStroke: Vascular and Interventional Neurology2694-57462024-03-014210.1161/SVIN.123.001170Surgical Exploration and Endarterectomy for Symptomatic Carotid Web With Retained ThrombusJuan Felipe Daza‐Ovalle0Charles Esenwa1Matthew Carnevale2James Hu3Richard L. Zampolin4Evan Lipsitz5Department of Neurology of Albert Einstein College of Medicine at Montefiore Health System Bronx New York NYDepartment of Neurology of Albert Einstein College of Medicine at Montefiore Health System Bronx New York NYDepartment of Vascular & Endovascular Surgery of Albert Einstein College of Medicine at Montefiore Health System Bronx New York NYDepartment of Vascular & Endovascular Surgery of Albert Einstein College of Medicine at Montefiore Health System Bronx New York NYDepartment of Radiology of Albert Einstein College of Medicine at Montefiore Health System Bronx New York NYDepartment of Vascular & Endovascular Surgery of Albert Einstein College of Medicine at Montefiore Health System Bronx New York NYBackground Symptomatic carotid web with retained thrombus represents a potential source of embolic strokes. However, the absence of diagnostic guidelines contributes to heterogeneity in management recommendations. Methods We present a patient with a right middle cerebral artery stroke attributable to carotid web with retained thrombus. Confirmation was obtained through surgical exploration, given the inconclusive imaging but strong index of suspicion. Results The presence of carotid web with retained thrombus was confirmed through surgical exploration. Cervical endarterectomy was performed and a carotid web with an associated thrombus was successfully resected. Conclusion We highlight the importance of having a high index of suspicion and prompt treatment to mitigate the risk of recurrent strokes when suspecting carotid web with retained thrombus.https://www.ahajournals.org/doi/10.1161/SVIN.123.001170 |
| spellingShingle | Juan Felipe Daza‐Ovalle Charles Esenwa Matthew Carnevale James Hu Richard L. Zampolin Evan Lipsitz Surgical Exploration and Endarterectomy for Symptomatic Carotid Web With Retained Thrombus Stroke: Vascular and Interventional Neurology |
| title | Surgical Exploration and Endarterectomy for Symptomatic Carotid Web With Retained Thrombus |
| title_full | Surgical Exploration and Endarterectomy for Symptomatic Carotid Web With Retained Thrombus |
| title_fullStr | Surgical Exploration and Endarterectomy for Symptomatic Carotid Web With Retained Thrombus |
| title_full_unstemmed | Surgical Exploration and Endarterectomy for Symptomatic Carotid Web With Retained Thrombus |
| title_short | Surgical Exploration and Endarterectomy for Symptomatic Carotid Web With Retained Thrombus |
| title_sort | surgical exploration and endarterectomy for symptomatic carotid web with retained thrombus |
| url | https://www.ahajournals.org/doi/10.1161/SVIN.123.001170 |
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