Carotid artery stenting for carotid web resistant to medical treatment
Carotid web is a nonatherosclerotic shelf-like projection located in the posterior wall of the proximal internal carotid artery and is considered an atypical variant of fibromuscular dysplasia. It is recognized as an important cause of ischemic stroke, especially cryptogenic stroke. Antithrombotic t...
Main Authors: | , , , , , , |
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Format: | Article |
Language: | English |
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Elsevier
2021-06-01
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Series: | Interdisciplinary Neurosurgery |
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Online Access: | http://www.sciencedirect.com/science/article/pii/S2214751920306289 |
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author | Kotaro Ono Koichi Arimura Ataru Nishimura Katsuma Iwaki Tomohiro Okuda Tetsuro Ago Koji Iihara |
author_facet | Kotaro Ono Koichi Arimura Ataru Nishimura Katsuma Iwaki Tomohiro Okuda Tetsuro Ago Koji Iihara |
author_sort | Kotaro Ono |
collection | DOAJ |
description | Carotid web is a nonatherosclerotic shelf-like projection located in the posterior wall of the proximal internal carotid artery and is considered an atypical variant of fibromuscular dysplasia. It is recognized as an important cause of ischemic stroke, especially cryptogenic stroke. Antithrombotic treatment and carotid revascularization with endarterectomy or stenting are performed, but the optimal treatment strategy is still controversial. In our presented case, ischemic stroke recurred despite medical treatment with antiplatelet and anticoagulant therapies, but treatment with carotid artery stenting was successful. Carotid revascularization with stenting might be a potential treatment option for the patient with carotid web resistant to medical treatment. |
first_indexed | 2024-12-14T14:56:10Z |
format | Article |
id | doaj.art-a29655c582324aa69f8f96b3f6e9022d |
institution | Directory Open Access Journal |
issn | 2214-7519 |
language | English |
last_indexed | 2024-12-14T14:56:10Z |
publishDate | 2021-06-01 |
publisher | Elsevier |
record_format | Article |
series | Interdisciplinary Neurosurgery |
spelling | doaj.art-a29655c582324aa69f8f96b3f6e9022d2022-12-21T22:56:58ZengElsevierInterdisciplinary Neurosurgery2214-75192021-06-0124101067Carotid artery stenting for carotid web resistant to medical treatmentKotaro Ono0Koichi Arimura1Ataru Nishimura2Katsuma Iwaki3Tomohiro Okuda4Tetsuro Ago5Koji Iihara6Department of Neurosurgery, Graduate School of Medical Sciences, Kyushu University, 3-1-1, Maidashi, Higashi-ku, Fukuoka 812-8582, JapanDepartment of Neurosurgery, Graduate School of Medical Sciences, Kyushu University, 3-1-1, Maidashi, Higashi-ku, Fukuoka 812-8582, Japan; Corresponding author.Department of Neurosurgery, Graduate School of Medical Sciences, Kyushu University, 3-1-1, Maidashi, Higashi-ku, Fukuoka 812-8582, JapanDepartment of Neurosurgery, Graduate School of Medical Sciences, Kyushu University, 3-1-1, Maidashi, Higashi-ku, Fukuoka 812-8582, JapanDepartment of Neurosurgery, Graduate School of Medical Sciences, Kyushu University, 3-1-1, Maidashi, Higashi-ku, Fukuoka 812-8582, JapanDepartment of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyushu University, 3-1-1, Maidashi, Higashi-ku, Fukuoka 812-8582, JapanDepartment of Neurosurgery, Graduate School of Medical Sciences, Kyushu University, 3-1-1, Maidashi, Higashi-ku, Fukuoka 812-8582, Japan; Department of Neurosurgery, National Cerebral and Cardiovascular Center, 6-1 Kishibe-Shimmachi, Suita, Osaka 564-8565, JapanCarotid web is a nonatherosclerotic shelf-like projection located in the posterior wall of the proximal internal carotid artery and is considered an atypical variant of fibromuscular dysplasia. It is recognized as an important cause of ischemic stroke, especially cryptogenic stroke. Antithrombotic treatment and carotid revascularization with endarterectomy or stenting are performed, but the optimal treatment strategy is still controversial. In our presented case, ischemic stroke recurred despite medical treatment with antiplatelet and anticoagulant therapies, but treatment with carotid artery stenting was successful. Carotid revascularization with stenting might be a potential treatment option for the patient with carotid web resistant to medical treatment.http://www.sciencedirect.com/science/article/pii/S2214751920306289Carotid webCarotid artery stentingAntithromboticCarotid revascularization |
spellingShingle | Kotaro Ono Koichi Arimura Ataru Nishimura Katsuma Iwaki Tomohiro Okuda Tetsuro Ago Koji Iihara Carotid artery stenting for carotid web resistant to medical treatment Interdisciplinary Neurosurgery Carotid web Carotid artery stenting Antithrombotic Carotid revascularization |
title | Carotid artery stenting for carotid web resistant to medical treatment |
title_full | Carotid artery stenting for carotid web resistant to medical treatment |
title_fullStr | Carotid artery stenting for carotid web resistant to medical treatment |
title_full_unstemmed | Carotid artery stenting for carotid web resistant to medical treatment |
title_short | Carotid artery stenting for carotid web resistant to medical treatment |
title_sort | carotid artery stenting for carotid web resistant to medical treatment |
topic | Carotid web Carotid artery stenting Antithrombotic Carotid revascularization |
url | http://www.sciencedirect.com/science/article/pii/S2214751920306289 |
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