The Carotid Web: A Rare Abnormality of the Intimal Layer Causing Ischemic Stroke in a Young Female Patient
The carotid web represents a specific type of fibromuscular dysplasia that primarily affects the intimal layer and is considered a high-risk factor for cryptogenic ischemic stroke. There is still debate regarding the ideal diagnostic imaging for carotid webs. Computed tomography angiography (CTA) is...
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Veröffentlicht in: | Curēus (Palo Alto, CA) CA), 2024-10, Vol.16 (10), p.e71786 |
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creator | Seretis, Konstantinos G Giannakopoulos, Nikolaos Stasinaki, Polixeni Souli-Bakaloglou, Alexandra Papas, Theofanis |
description | The carotid web represents a specific type of fibromuscular dysplasia that primarily affects the intimal layer and is considered a high-risk factor for cryptogenic ischemic stroke. There is still debate regarding the ideal diagnostic imaging for carotid webs. Computed tomography angiography (CTA) is the preferred method in most studies; however, digital subtraction angiography (DSA) has been proven to offer great-quality images for diagnosing and evaluating the carotid web. Surgical treatment of carotid web is essential in order to avoid recurrent attacks of ischemic stroke. Carotid endarterectomy (CEA) and carotid artery stenting (CAS) are both indicated for the treatment of carotid web; on the other hand, the efficacy of conservative treatment is still debated. We present a case of ischemic stroke in a young female patient that was attributed to a carotid web and was treated successfully with CAS of the right internal carotid artery. |
doi_str_mv | 10.7759/cureus.71786 |
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There is still debate regarding the ideal diagnostic imaging for carotid webs. Computed tomography angiography (CTA) is the preferred method in most studies; however, digital subtraction angiography (DSA) has been proven to offer great-quality images for diagnosing and evaluating the carotid web. Surgical treatment of carotid web is essential in order to avoid recurrent attacks of ischemic stroke. Carotid endarterectomy (CEA) and carotid artery stenting (CAS) are both indicated for the treatment of carotid web; on the other hand, the efficacy of conservative treatment is still debated. We present a case of ischemic stroke in a young female patient that was attributed to a carotid web and was treated successfully with CAS of the right internal carotid artery.</description><identifier>ISSN: 2168-8184</identifier><identifier>EISSN: 2168-8184</identifier><identifier>DOI: 10.7759/cureus.71786</identifier><identifier>PMID: 39552991</identifier><language>eng</language><publisher>United States: Cureus Inc</publisher><subject>Brain research ; Cardiac/Thoracic/Vascular Surgery ; Carotid arteries ; Clinical medicine ; Debates ; Emergency Medicine ; Hospitals ; Ischemia ; Medical imaging ; Neurology ; Patients ; Stroke ; Ultrasonic imaging ; Vascular surgery</subject><ispartof>Curēus (Palo Alto, CA), 2024-10, Vol.16 (10), p.e71786</ispartof><rights>Copyright © 2024, Seretis et al.</rights><rights>Copyright © 2024, Seretis et al. This work is published under https://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Copyright © 2024, Seretis et al. 2024 Seretis et al.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c1779-5d30553e45a4839dfed6d5798860f2814fad2e03c1ea8c8a24b56f69bda11a423</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11569819/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11569819/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27903,27904,53770,53772</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39552991$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Seretis, Konstantinos G</creatorcontrib><creatorcontrib>Giannakopoulos, Nikolaos</creatorcontrib><creatorcontrib>Stasinaki, Polixeni</creatorcontrib><creatorcontrib>Souli-Bakaloglou, Alexandra</creatorcontrib><creatorcontrib>Papas, Theofanis</creatorcontrib><title>The Carotid Web: A Rare Abnormality of the Intimal Layer Causing Ischemic Stroke in a Young Female Patient</title><title>Curēus (Palo Alto, CA)</title><addtitle>Cureus</addtitle><description>The carotid web represents a specific type of fibromuscular dysplasia that primarily affects the intimal layer and is considered a high-risk factor for cryptogenic ischemic stroke. There is still debate regarding the ideal diagnostic imaging for carotid webs. Computed tomography angiography (CTA) is the preferred method in most studies; however, digital subtraction angiography (DSA) has been proven to offer great-quality images for diagnosing and evaluating the carotid web. Surgical treatment of carotid web is essential in order to avoid recurrent attacks of ischemic stroke. Carotid endarterectomy (CEA) and carotid artery stenting (CAS) are both indicated for the treatment of carotid web; on the other hand, the efficacy of conservative treatment is still debated. We present a case of ischemic stroke in a young female patient that was attributed to a carotid web and was treated successfully with CAS of the right internal carotid artery.</description><subject>Brain research</subject><subject>Cardiac/Thoracic/Vascular Surgery</subject><subject>Carotid arteries</subject><subject>Clinical medicine</subject><subject>Debates</subject><subject>Emergency Medicine</subject><subject>Hospitals</subject><subject>Ischemia</subject><subject>Medical imaging</subject><subject>Neurology</subject><subject>Patients</subject><subject>Stroke</subject><subject>Ultrasonic imaging</subject><subject>Vascular surgery</subject><issn>2168-8184</issn><issn>2168-8184</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNpdkc1PGzEQxa2qqEHAjTOy1EsPDfhjvbZ7qaII2kiRQG0Q4mR5vbPEYbOm9i5S_ntMQ6OUky3Pz2_mzUPolJJzKYW-cEOEIZ1LKlX5AR0yWqqxoqr4uHcfoZOUVoQQSiQjknxCI66FYFrTQ7RaLAFPbQy9r_EdVN_wBP-yEfCk6kJc29b3Gxwa3Gds1vU-v-C53UDMn4bkuwc8S24Ja-_w7z6GR8C-wxbfhyGXriDjgG9s76Hrj9FBY9sEJ2_nEbq9ulxMf47n1z9m08l87KiUeixqToTgUAhbKK7rBuqyFlIrVZKGKVo0tmZAuKNglVOWFZUom1JXtaXUFowfoe9b3aehWkPtcutoW_MU8_BxY4L15v9K55fmITwbSkWpFdVZ4cubQgx_Bki9WfvkoG1tB2FIhlOmy7xaJTP6-R26CkPssr9M8aLITpjI1Nct5WJIKUKzm4YS8xqk2QZp_gaZ8bN9Bzv4X2z8BWCWmZo</recordid><startdate>20241018</startdate><enddate>20241018</enddate><creator>Seretis, Konstantinos G</creator><creator>Giannakopoulos, Nikolaos</creator><creator>Stasinaki, Polixeni</creator><creator>Souli-Bakaloglou, Alexandra</creator><creator>Papas, Theofanis</creator><general>Cureus Inc</general><general>Cureus</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20241018</creationdate><title>The Carotid Web: A Rare Abnormality of the Intimal Layer Causing Ischemic Stroke in a Young Female Patient</title><author>Seretis, Konstantinos G ; 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There is still debate regarding the ideal diagnostic imaging for carotid webs. Computed tomography angiography (CTA) is the preferred method in most studies; however, digital subtraction angiography (DSA) has been proven to offer great-quality images for diagnosing and evaluating the carotid web. Surgical treatment of carotid web is essential in order to avoid recurrent attacks of ischemic stroke. Carotid endarterectomy (CEA) and carotid artery stenting (CAS) are both indicated for the treatment of carotid web; on the other hand, the efficacy of conservative treatment is still debated. We present a case of ischemic stroke in a young female patient that was attributed to a carotid web and was treated successfully with CAS of the right internal carotid artery.</abstract><cop>United States</cop><pub>Cureus Inc</pub><pmid>39552991</pmid><doi>10.7759/cureus.71786</doi><oa>free_for_read</oa></addata></record> |
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subjects | Brain research Cardiac/Thoracic/Vascular Surgery Carotid arteries Clinical medicine Debates Emergency Medicine Hospitals Ischemia Medical imaging Neurology Patients Stroke Ultrasonic imaging Vascular surgery |
title | The Carotid Web: A Rare Abnormality of the Intimal Layer Causing Ischemic Stroke in a Young Female Patient |
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