Seretis Konstantinos G, Giannakopoulos Nikolaos, Stasinaki Polixeni, Souli-Bakaloglou Alexandra, Papas Theofanis
Department of Vascular Surgery, Korgialenio-Benakio Hellenic Red Cross Hospital, Athens, GRC.
Department of Neurology, Korgialenio-Benakio Hellenic Red Cross Hospital, Athens, GRC.
Cureus. 2024 Oct 18;16(10):e71786. doi: 10.7759/cureus.71786. eCollection 2024 Oct.
The carotid web represents a specific type of fibromuscular dysplasia that primarily affects the intimal layer and is considered a high-risk factor for cryptogenic ischemic stroke. There is still debate regarding the ideal diagnostic imaging for carotid webs. Computed tomography angiography (CTA) is the preferred method in most studies; however, digital subtraction angiography (DSA) has been proven to offer great-quality images for diagnosing and evaluating the carotid web. Surgical treatment of carotid web is essential in order to avoid recurrent attacks of ischemic stroke. Carotid endarterectomy (CEA) and carotid artery stenting (CAS) are both indicated for the treatment of carotid web; on the other hand, the efficacy of conservative treatment is still debated. We present a case of ischemic stroke in a young female patient that was attributed to a carotid web and was treated successfully with CAS of the right internal carotid artery.
颈动脉膜是一种特殊类型的纤维肌发育不良，主要影响内膜层，被认为是隐源性缺血性卒中的高危因素。关于颈动脉膜的理想诊断成像仍存在争议。在大多数研究中，计算机断层扫描血管造影（CTA）是首选方法；然而，数字减影血管造影（DSA）已被证明能提供高质量图像用于诊断和评估颈动脉膜。为避免缺血性卒中复发，颈动脉膜的手术治疗至关重要。颈动脉内膜切除术（CEA）和颈动脉支架置入术（CAS）均适用于颈动脉膜的治疗；另一方面，保守治疗的疗效仍存在争议。我们报告一例年轻女性患者的缺血性卒中，其病因是颈动脉膜，经右侧颈内动脉CAS治疗成功。
