Abstract
Background: We report a symptomatic carotid web successfully treated with carotid endarterectomy. A healthy 43-year-old woman presented with acute-onset left-sided weakness. Carotid web was evident on computed tomography angiography as a focal filling defect in the right common carotid artery. This right common carotid artery web extended into the ICA created an eddy resulting in turbulent flow. Subsequent acute embolus formation led to embolization and acute stroke. Method: Review of the literature was performed using Medline Plus and PubMed databases. Result: The patient underwent carotid endarterectomy with primary closure. Procedure was well tolerated and there was an uneventful recovery. Conclusion: Arterial webs are a rare arteriopathy and a usual arrangement of fibromuscular intralumenal in-growth with unclear etiology. It is however, an important potential etiology of stroke in patients without traditional atherosclerotic risk factors. Carotid web and atypical carotid fibromuscular dysplasia should be considered in young, otherwise healthy patients presenting with stroke and without the typical risk factors for atherosclerotic carotid disease and stroke.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 553-556 |
| Number of pages | 4 |
| Journal | Vascular |
| Volume | 25 |
| Issue number | 5 |
| DOIs | |
| State | Published - Oct 1 2017 |
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Keywords
- Arterial web
- carotid
- endarterectomy
- fibromuscular dysplagia
- mixoid degeneration
- stoke
ASJC Scopus subject areas
- Surgery
- Radiology Nuclear Medicine and imaging
- Cardiology and Cardiovascular Medicine
Cite this
Endarterectomy for a symptomatic carotid web. / Phair, John; Trestman, Eric B.; Yean, Chetra; Lipsitz, Evan C.
In: Vascular, Vol. 25, No. 5, 01.10.2017, p. 553-556.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Endarterectomy for a symptomatic carotid web
AU - Phair, John
AU - Trestman, Eric B.
AU - Yean, Chetra
AU - Lipsitz, Evan C.
PY - 2017/10/1
Y1 - 2017/10/1
N2 - Background: We report a symptomatic carotid web successfully treated with carotid endarterectomy. A healthy 43-year-old woman presented with acute-onset left-sided weakness. Carotid web was evident on computed tomography angiography as a focal filling defect in the right common carotid artery. This right common carotid artery web extended into the ICA created an eddy resulting in turbulent flow. Subsequent acute embolus formation led to embolization and acute stroke. Method: Review of the literature was performed using Medline Plus and PubMed databases. Result: The patient underwent carotid endarterectomy with primary closure. Procedure was well tolerated and there was an uneventful recovery. Conclusion: Arterial webs are a rare arteriopathy and a usual arrangement of fibromuscular intralumenal in-growth with unclear etiology. It is however, an important potential etiology of stroke in patients without traditional atherosclerotic risk factors. Carotid web and atypical carotid fibromuscular dysplasia should be considered in young, otherwise healthy patients presenting with stroke and without the typical risk factors for atherosclerotic carotid disease and stroke.
AB - Background: We report a symptomatic carotid web successfully treated with carotid endarterectomy. A healthy 43-year-old woman presented with acute-onset left-sided weakness. Carotid web was evident on computed tomography angiography as a focal filling defect in the right common carotid artery. This right common carotid artery web extended into the ICA created an eddy resulting in turbulent flow. Subsequent acute embolus formation led to embolization and acute stroke. Method: Review of the literature was performed using Medline Plus and PubMed databases. Result: The patient underwent carotid endarterectomy with primary closure. Procedure was well tolerated and there was an uneventful recovery. Conclusion: Arterial webs are a rare arteriopathy and a usual arrangement of fibromuscular intralumenal in-growth with unclear etiology. It is however, an important potential etiology of stroke in patients without traditional atherosclerotic risk factors. Carotid web and atypical carotid fibromuscular dysplasia should be considered in young, otherwise healthy patients presenting with stroke and without the typical risk factors for atherosclerotic carotid disease and stroke.
KW - Arterial web
KW - carotid
KW - endarterectomy
KW - fibromuscular dysplagia
KW - mixoid degeneration
KW - stoke
UR - http://www.scopus.com/inward/record.url?scp=85029817461&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85029817461&partnerID=8YFLogxK
U2 - 10.1177/1708538116684940
DO - 10.1177/1708538116684940
M3 - Article
VL - 25
SP - 553
EP - 556
JO - Vascular
JF - Vascular
SN - 1708-5381
IS - 5
ER -