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The endothelialization on carotid web treated with dual layer stent placement: a case report()

Carotid webs are known to cause acute ischemic stroke in younger adults and have a high recurrence rate. Herein, we report a case of a symptomatic carotid web in a 51-year-old man who was transferred to our hospital after developing consciousness disturbance and left hemiparesis. He was diagnosed wi...

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Detalles Bibliográficos
Autores principales: Ishikawa, Kohei, Shindo, Koichiro, Endo, Hideki, Nomura, Ryota, Yoshihara, Ryunosuke, Oka, Koji, Nakamura, Hirohiko
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9379973/
https://www.ncbi.nlm.nih.gov/pubmed/35982721
http://dx.doi.org/10.1016/j.radcr.2022.07.089
Descripción
Sumario:Carotid webs are known to cause acute ischemic stroke in younger adults and have a high recurrence rate. Herein, we report a case of a symptomatic carotid web in a 51-year-old man who was transferred to our hospital after developing consciousness disturbance and left hemiparesis. He was diagnosed with right middle cerebral artery occlusion and underwent mechanical thrombectomy. Because his carotid web was the likely embolic source, we performed carotid artery stenting using a dual-layer stent to crimp the vessel wall and secure closure of the web pocket. Follow-up angiography was performed at 3 weeks after stenting, and endothelialization on the web pocket was confirmed. The high scaffolding effect of the dual layer stent may promote the endothelialization on the carotid web.