Embolectomy of acute embolic stroke associated with ipsilateral carotid web: a case report and literature review

A carotid web is a thin intraluminal protrusion located in the posterolateral wall of the carotid bulb, which might be a risk factor for cryptogenic stroke. The mechanism of ischemic stroke caused by carotid web is still unclear, but it might be related to hemodynamic changes distal to the web, resu...

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Autores principales:	JunTao Yin, Wan Wang, ZhiJun Song, YingDong Xu, Yu Wang, YuQing Wei, Jingzhe Han
Formato:	article
Lenguaje:	EN
Publicado:	SAGE Publishing 2021
Materias:	Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/c7cd90ae38e748d2853297cfe18e614a
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spelling	oai:doaj.org-article:c7cd90ae38e748d2853297cfe18e614a2021-12-02T03:03:27ZEmbolectomy of acute embolic stroke associated with ipsilateral carotid web: a case report and literature review1473-230010.1177/03000605211059929https://doaj.org/article/c7cd90ae38e748d2853297cfe18e614a2021-11-01T00:00:00Zhttps://doi.org/10.1177/03000605211059929https://doaj.org/toc/1473-2300A carotid web is a thin intraluminal protrusion located in the posterolateral wall of the carotid bulb, which might be a risk factor for cryptogenic stroke. The mechanism of ischemic stroke caused by carotid web is still unclear, but it might be related to hemodynamic changes distal to the web, resulting in flow forces and remote embolization of fibrin-based clots. The diagnosis of a carotid web mainly depends on carotid artery imaging examinations. The main therapeutic strategies include medical treatment with oral antiplatelet agents and anticoagulants, and operative treatment, such as carotid endarterectomy and carotid artery stenting. Few cases of acute large-vessel occlusion undergoing mechanical thrombectomy in the setting of carotid web as the etiology have been reported. We report here a case of a 37-year-old woman who underwent stent retriever embolectomy after acute ischemic stroke. Carotid artery imaging examinations, including digital subtraction angiography and magnetic resonance imaging, and pathology showed that a carotid web was located at the proximal right internal carotid artery. We also discuss the clinical pathophysiological and imaging features, and the treatment of carotid web as described in the currently available literature.JunTao YinWan WangZhiJun SongYingDong XuYu WangYuQing WeiJingzhe HanSAGE PublishingarticleMedicine (General)R5-920ENJournal of International Medical Research, Vol 49 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine (General) R5-920
spellingShingle	Medicine (General) R5-920 JunTao Yin Wan Wang ZhiJun Song YingDong Xu Yu Wang YuQing Wei Jingzhe Han Embolectomy of acute embolic stroke associated with ipsilateral carotid web: a case report and literature review
description	A carotid web is a thin intraluminal protrusion located in the posterolateral wall of the carotid bulb, which might be a risk factor for cryptogenic stroke. The mechanism of ischemic stroke caused by carotid web is still unclear, but it might be related to hemodynamic changes distal to the web, resulting in flow forces and remote embolization of fibrin-based clots. The diagnosis of a carotid web mainly depends on carotid artery imaging examinations. The main therapeutic strategies include medical treatment with oral antiplatelet agents and anticoagulants, and operative treatment, such as carotid endarterectomy and carotid artery stenting. Few cases of acute large-vessel occlusion undergoing mechanical thrombectomy in the setting of carotid web as the etiology have been reported. We report here a case of a 37-year-old woman who underwent stent retriever embolectomy after acute ischemic stroke. Carotid artery imaging examinations, including digital subtraction angiography and magnetic resonance imaging, and pathology showed that a carotid web was located at the proximal right internal carotid artery. We also discuss the clinical pathophysiological and imaging features, and the treatment of carotid web as described in the currently available literature.
format	article
author	JunTao Yin Wan Wang ZhiJun Song YingDong Xu Yu Wang YuQing Wei Jingzhe Han
author_facet	JunTao Yin Wan Wang ZhiJun Song YingDong Xu Yu Wang YuQing Wei Jingzhe Han
author_sort	JunTao Yin
title	Embolectomy of acute embolic stroke associated with ipsilateral carotid web: a case report and literature review
title_short	Embolectomy of acute embolic stroke associated with ipsilateral carotid web: a case report and literature review
title_full	Embolectomy of acute embolic stroke associated with ipsilateral carotid web: a case report and literature review
title_fullStr	Embolectomy of acute embolic stroke associated with ipsilateral carotid web: a case report and literature review
title_full_unstemmed	Embolectomy of acute embolic stroke associated with ipsilateral carotid web: a case report and literature review
title_sort	embolectomy of acute embolic stroke associated with ipsilateral carotid web: a case report and literature review
publisher	SAGE Publishing
publishDate	2021
url	https://doaj.org/article/c7cd90ae38e748d2853297cfe18e614a
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Embolectomy of acute embolic stroke associated with ipsilateral carotid web: a case report and literature review

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