Carotid artery stenting for carotid web resistant to medical treatment

Kotaro Ono; Koichi Arimura; ataru nishimura; Katsuma Iwaki; Tomohiro Okuda; Tetsuro Ago; Koji Iihara

doi:10.1016/j.inat.2020.101067

Carotid artery stenting for carotid web resistant to medical treatment

Kotaro Ono, Koichi Arimura, ataru nishimura, Katsuma Iwaki, Tomohiro Okuda, Tetsuro Ago, Koji Iihara

Research output: Contribution to journal › Article › peer-review

Abstract

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.

Original language	English
Article number	101067
Journal	Interdisciplinary Neurosurgery: Advanced Techniques and Case Management
Volume	24
DOIs	https://doi.org/10.1016/j.inat.2020.101067
Publication status	Published - Jun 2021

All Science Journal Classification (ASJC) codes

Surgery
Clinical Neurology

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title = "Carotid artery stenting for carotid web resistant to medical treatment",

abstract = "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.",

author = "Kotaro Ono and Koichi Arimura and ataru nishimura and Katsuma Iwaki and Tomohiro Okuda and Tetsuro Ago and Koji Iihara",

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AU - Ono, Kotaro

AU - Arimura, Koichi

AU - nishimura, ataru

AU - Iwaki, Katsuma

AU - Okuda, Tomohiro

AU - Ago, Tetsuro

AU - Iihara, Koji

PY - 2021/6

Y1 - 2021/6

N2 - 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.

AB - 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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Carotid artery stenting for carotid web resistant to medical treatment

Abstract

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