Stroke (Hoboken, N.J.) · 2024
Surgical Exploration and Endarterectomy for Symptomatic Carotid Web With Retained Thrombus.
СтатьяНазвание и аннотация: Перевод пока не подготовлен
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Daza-Ovalle Juan Felipe, Esenwa Charles, Carnevale Matthew, Hu James, Zampolin Richard L, Lipsitz Evan
Аннотация
BACKGROUND: Symptomatic carotid web with retained thrombus represents a potential source of embolic strokes. However, the absence of diagnostic guidelines contributes to heterogeneity in management recommendations.
METHODS: We present a patient with a right middle cerebral artery stroke attributable to carotid web with retained thrombus. Confirmation was obtained through surgical exploration, given the inconclusive imaging but strong index of suspicion.
RESULTS: The presence of carotid web with retained thrombus was confirmed through surgical exploration. Cervical endarterectomy was performed and a carotid web with an associated thrombus was successfully resected.
CONCLUSION: We highlight the importance of having a high index of suspicion and prompt treatment to mitigate the risk of recurrent strokes when suspecting carotid web with retained thrombus.
METHODS: We present a patient with a right middle cerebral artery stroke attributable to carotid web with retained thrombus. Confirmation was obtained through surgical exploration, given the inconclusive imaging but strong index of suspicion.
RESULTS: The presence of carotid web with retained thrombus was confirmed through surgical exploration. Cervical endarterectomy was performed and a carotid web with an associated thrombus was successfully resected.
CONCLUSION: We highlight the importance of having a high index of suspicion and prompt treatment to mitigate the risk of recurrent strokes when suspecting carotid web with retained thrombus.