The endothelialization on carotid web treated with dual layer stent placement: a case report

Radiology Case Reports

article

Kohei Ishikawa¹  Koichiro Shindo¹  Hideki Endo¹  Ryota Nomura¹  Ryunosuke Yoshihara¹  Koji Oka¹  Hirohiko Nakamura¹ 

[1] Department of Neurosurgery, Nakamura Memorial South Hospital

关键词: Carotid web;    Carotid artery stenting;    Dual layer stent;    Endothelialization;    Mechanical thrombectomy;   

DOI  :  10.1016/j.radcr.2022.07.089

学科分类：生物化学工程

来源: University of Washington * Department of Radiology

【 摘 要 】

Carotid webs are known to cause acute ischemic stroke in younger adults and have a high recurrence rate. Herein, we report a case of a symptomatic carotid web in a 51-year-old man who was transferred to our hospital after developing consciousness disturbance and left hemiparesis . He was diagnosed with right middle cerebral artery occlusion and underwent mechanical thrombectomy . Because his carotid web was the likely embolic source, we performed carotid artery stenting using a dual-layer stent to crimp the vessel wall and secure closure of the web pocket. Follow-up angiography was performed at 3 weeks after stenting, and endothelialization on the web pocket was confirmed. The high scaffolding effect of the dual layer stent may promote the endothelialization on the carotid web.

【 授权许可】

CC BY|CC BY-NC-ND