Carotid Stenting for Treatment of Symptomatic Carotid Webs: A Single-Center Case Series

Interventional Neurology
Waleed BrinjikjiVitor M Pereira

Abstract

Carotid webs are an increasingly recognized cause of acute is-chemic stroke, particularly in younger adults. The optimal medical and surgical strategies for managing these lesions have not been well established. We report a single-center case series of carotid stenting for treatment of symptomatic carotid webs. Consecutive patients undergoing stent placement for treatment of symptomatic carotid webs were included. Carotid webs were defined as a thin intraluminal filling defect along the posterior wall of the carotid bulb just beyond the carotid bifurcation on CTA. Data were collected on demographic characteristics, antiplatelet management, clinical presentation, imaging findings, treatment characteristics, complications, and stroke recurrence rates. Descriptive statistics are reported. A total of 4 patients were treated. Their mean age was 44 years (range 30-50). Three patients were female and 1 was male. All patients were symptomatic presenting with ipsilateral transient ischemic attacks or stroke. Patients were placed on dual antiplatelet therapy with ticagrelor and aspirin prior to the procedure. There were no ischemic or hemorrhagic complications. Three patients had postoperative bradycardia, 1 of whom required atropine imm...Continue Reading

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Citations

Mar 16, 2019·AJNR. American Journal of Neuroradiology·K C J CompagneUNKNOWN MR CLEAN investigators
Dec 17, 2020·Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences·S MathewJ Kovoor
Jan 8, 2021·BMC Medical Imaging·Man Gao, Jing Lei
Jun 10, 2021·Journal of Stroke·Stephane OlindoJulien Joux

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