Cao Zhong-Yu, Zhang Fu-Liang, Xu Baofeng
Stroke Center, Department of Neurology, the First Hospital of Jilin University, Xinmin Street 1, Changchun, China.
Neurol Sci. 2025 Sep 15. doi: 10.1007/s10072-025-08499-8.
Subclavian artery web (SAW) is a rare intimal variant of fibromuscular dysplasia that has been recognized as a potential cause of posterior-circulation stroke. On imaging, SAW typically presents as a thin, shelf-like intraluminal projection that could be misinterpreted as dissection or atherosclerotic plaque. Given the rarity of this entity, the optimal management strategy remains uncertain. Analogous to carotid artery web, stent implantation could resolve underlying hemodynamic disturbances and reduce the risk of embolic events. Herein, we report a case of SAW diagnosed via digital subtraction angiography (DSA) combined with computed tomography angiography (CTA), followed by stent implantation to prevent embolization.
锁骨下动脉网(SAW)是纤维肌发育不良的一种罕见内膜变异,已被认为是后循环卒中的潜在病因。在影像学上,SAW通常表现为腔内薄的、 shelf样突起,可能被误诊为夹层或动脉粥样硬化斑块。鉴于该实体的罕见性,最佳管理策略仍不确定。类似于颈动脉网,支架植入可解决潜在的血流动力学紊乱并降低栓塞事件的风险。在此,我们报告一例通过数字减影血管造影(DSA)结合计算机断层血管造影(CTA)诊断的SAW病例,随后进行支架植入以预防栓塞。