Treatment strategy for stroke due to carotid web: case report

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  • Carotid webにより発症した脳塞栓症に対し血栓回収療法および頚動脈ステント留置術を施行した３例
  • Carotid web ニ ヨリ ハッショウ シタ ノウ ソクセンショウ ニ タイシ ケッセン カイシュウ リョウホウ オヨビ ケイドウミャク ステント リュウチジュツ オ シコウ シタ 3レイ

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<p>  Carotid web is a fenestrated structure that develops on the posterior wall of the internal carotid artery origin and subtype of fibromuscular dysplasia. Blood stasis occurs in the carotid web, resulting to embolic material that can cause cerebral infarction, especially in young patients with no risk factors for stroke. For treatment, carotid revascularization is considered because of the high risk of recurrence with medical treatment alone. Although carotid endarterectomy has long been reported as a method of carotid revascularization, carotid artery stenting (CAS) has recently been increasingly reported. Here, we report three cases of CAS for symptomatic carotid web induced middle cerebral artery occlusion, which were successfully treated with CAS following mechanical thrombectomy.</p>

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