Symptomatic carotid web in a female patient

Krasteva, Marina P; Diamantaras, Andreas Antonios; Siller, Teresa; Mordasini, Pasquale; Heldner, Mirjam Rachel

doi:10.1177/2050313x20940540

Cited by 4 publications

(2 citation statements)

References 16 publications

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“…Therefore, aggressive surgical intervention should be considered. [ 7 ] In 2013, Lenck et al . reported the first CAS for the carotid web.…”

Section: Discussionmentioning

confidence: 99%

The case of treatment for carotid web – Double-layer micromesh stent implantation in our hospital

Kamatani,

Yoshida,

Tashiro

et al. 2023

Surgical Neurology International

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Background: A carotid web is a shelf-like structure on the posterior wall of the origin of the internal carotid artery, and it is believed to cause cerebral infarction due to thrombus formed by turbulent flow with stagnation of blood flow. Recently, it has been suggested that recurrent cerebral infarction cannot be prevented in patients with a symptomatic carotid web by conventional medical management alone. However, there is still no consensus on the treatment of carotid webs. Carotid artery stenting (CAS) with the CASPER stent (Microvention, Terumo, Tustin, CA, USA) was performed in six consecutive patients with symptomatic carotid webs, and the results are reported along with a review of the literature. Methods: Six consecutive patients with a diagnosis of internal carotid artery stenosis due to a carotid web on magnetic resonance imaging and digital subtraction angiography (DSA) were included in this study. All patients underwent dual antiplatelet therapy approximately 10 days before surgery and after 6 months, and then, a CASPER stent was implanted under general anesthesia. All patients were evaluated postoperatively by DSA 6 months after treatment. Results: In all patients, no in-stent stenosis was seen 6 months after the operation, and no symptomatic cerebral infarction occurred within 1 year after the procedure. Conclusions: CASPER stent implantation may be effective for treating carotid webs.

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“…Therefore, aggressive surgical intervention should be considered. [ 7 ] In 2013, Lenck et al . reported the first CAS for the carotid web.…”

Section: Discussionmentioning

confidence: 99%

The case of treatment for carotid web – Double-layer micromesh stent implantation in our hospital

Kamatani,

Yoshida,

Tashiro

et al. 2023

Surgical Neurology International

View full text Add to dashboard Cite

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“…It can provide detailed vascular morphology information, and can distinguish between CaW, atherosclerosis, and artery dissection ( 35 ). However, CTA does not provide information on hemodynamics and lesion composition, and it exposes patients to radiation and iodine contrast agents ( 36 ). Conventional ultrasound is a non-invasive, convenient, and rapid examination method ( 37 ).…”

Section: Discussionmentioning

confidence: 99%

The Value of Contrast-Enhanced Ultrasound in the Evaluation of Carotid Web

Zhou

Feng

et al. 2022

Front. Neurol.

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ObjectivesThe purpose of this study was to investigate whether contrast-enhanced ultrasound (CEUS) is more advantageous than conventional ultrasound in the diagnosis of carotid web (CaW) and to compare the clinical characteristics of patients in different age groups.MethodsSeventeen patients admitted to the hospital from October 2019 to December 2021 were included in our study. Patients were initially diagnosed with CaW using digital subtraction angiography (DSA), and conventional ultrasound and CEUS were completed. Baseline patient data were analyzed and compared between the <60 years old CaW group and the ≥60 years old CaW group to explore the differences between the two groups. Then, comparing the accuracy of conventional ultrasound and CEUS.ResultsA total of 17 CaW patients participated in this study, including 4 female patients (23.5%) and 13 male patients (76.5%), with an average age of 59.41 (±10.86) years. There were 9 patients (52.9%) with left CaW and 8 patients (47.1%) with right CaW. Acute ischemic stroke (AIS) occurred in 14 patients (82.4%). Thrombosis occurred in five of 17 patients (29.4%). There was a significant statistical difference about the thrombosis between the <60 years old CaW group and the ≥60 years old CaW group [<60 years group: 0 (0%), ≥60 years group: 5 (62.5%), P = 0.005]. Seven patients (41.2%) received medical management, nine patients (52.9%) had carotid artery stenting (CAS), and one patient (5.9%) had carotid endarterectomy (CEA). None of the patients had recurrent stroke during the follow-up period. The diagnostic rate of CaW and thrombus by CEUS was higher than that by conventional ultrasound, and there was a significant statistical difference in the diagnosis of thrombus between CEUS and conventional ultrasound (χ2 = 4.286, P = 0.038).ConclusionsCEUS may have a higher diagnostic accuracy for CaW with thrombosis, and it has a higher clinical application prospect.

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