ABSTRACT
The patient was a middle-aged male with the recurrent transient ischemic attack caused by carotid web, and the common symptoms include recurrent left limb weakness and numbness. According to the results of the CT angiography, the digital substraction angiography, the magnetic resonance angiography and the colour-Doppler ultrasound of the neck, the patient was considered with carotid artery web. After conventional medical treatment such as anti-platelet aggregation, lipid regulation and improvement of cerebral circulation, the patient′s symptoms did not improve significantly. Later, the patient underwent carotid endarterectomy. The pathological examination results of the tissue from the surgery confirmed the patient with carotid artery web. Moreover, after surgery, the patient did not experience transient ischemic attack any more.
ABSTRACT
The patient was a middle-aged male with the recurrent transient ischemic attack caused by carotid web,and the common symptoms include recurrent left limb weakness and numbness.According to the results of the CT angiography,the digital substraction angiography,the magnetic resonance angiography and the colour-Doppler ultrasound of the neck,the patient was considered with carotid artery web.After conventional medical treatment such as anti-platelet aggregation,lipid regulation and improvement of cerebral circulation,the patient's symptoms did not improve significantly.Later,the patient underwent carotid endarterectomy.The pathological examination results of the tissue from the surgery confirmed the patient with carotid artery web.Moreover,after surgery,the patient did not experience transient ischemic attack any more.
ABSTRACT
Carotid web is a rare risk factor of ischemic stroke.A total of 32 (0.54％) patients with carotid web were finally diagnosed in 5 943 patients who underwent carotid computerized tomography angiography (CTA) in two hospitals.Only one patient received carotid endarterectomy that pathological findings were fibrous tissue hyperplasia of vascular wall with mucinous degeneration.Stent implantation was administrated in two cases.Among 13 asymptomatic patients,the observational follow-up period was (20.9± 12.4) months without strokes.Carotid web is a rare aberration.Asymptomatic patients with carotid web are usually silent.Large sized cohort and long-term follow-up are further needed.