Carotid web management in symptomatic patients : a case report and literature review
Asim, Hamza El-Nakhal, Tamer Usman, Mohammed Lines, Hannah McMahon, Greg S.
Asim, Hamza
El-Nakhal, Tamer
Usman, Mohammed
Lines, Hannah
McMahon, Greg S.
Affiliation
University of Leicester; University Hospitals of Leicester NHS Trust; South Warwickshire University NHS Foundation Trust; University Hospitals Coventry and Warwickshire NHS Trust
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Publication date
2024-11-17
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Abstract
The carotid web is a rare fibromuscular dysplasia disease of the internal carotid artery wall. It is a cause of thromboembolic stroke in a demographic of patients generally younger than those with atherosclerotic carotid artery disease. It is easy to miss the diagnosis without a high index of suspicion. We present a case of a carotid web in a 36-year-old female who suffered a thromboembolic stroke as a result of an ipsilateral carotid web. This was managed with open surgical resection of the intimal web and bovine patch angioplasty. In addition to highlighting this pathology as a cause of internal carotid artery stenosis, we present a review of the literature and a consensus on management options.
Keywords: carotid duplex ultrasound; carotid web; ct angio; extracranial fibromuscular dysplasia; fibromuscular disease; internal carotid artery (ica); vascular anomaly; vascular surgery education.
Citation
Asim H, El-Nakhal T, Usman M, Lines H, McMahon GS. Carotid Web Management in Symptomatic Patients: A Case Report and Literature Review. Cureus. 2024 Nov 17;16(11):e73857. doi: 10.7759/cureus.73857.
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Article