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...

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Main Authors: Kotaro Ono, Koichi Arimura, Ataru Nishimura, Katsuma Iwaki, Tomohiro Okuda, Tetsuro Ago, Koji Iihara
Format: Article
Language:English
Published: Elsevier 2021-06-01
Series:Interdisciplinary Neurosurgery
Subjects:
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.
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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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AT katsumaiwaki carotidarterystentingforcarotidwebresistanttomedicaltreatment
AT tomohirookuda carotidarterystentingforcarotidwebresistanttomedicaltreatment
AT tetsuroago carotidarterystentingforcarotidwebresistanttomedicaltreatment
AT kojiiihara carotidarterystentingforcarotidwebresistanttomedicaltreatment