scholarly journals Successful emergent carotid artery stent placement for high-grade stenosis in a serious ischemic stroke patient: Case report

Nosotchu ◽  
2007 ◽  
Vol 29 (5) ◽  
pp. 642-647
Author(s):  
Keisuke Imai ◽  
Masayoshi Kimura ◽  
Masahiro Makino ◽  
Fumiko Oshima ◽  
Kenichiro Oda ◽  
...  
Keyword(s):  
Ischemic Stroke ◽  
Case Report ◽  
Carotid Artery ◽  
Stroke Patient ◽  
Stent Placement ◽  
High Grade ◽  
Ischemic Stroke Patient ◽  
Patient Case ◽  
Carotid Artery Stent

scholarly journals A case report of Ogilvie's syndrome in an ischemic stroke patient

2014 ◽  
Vol 20 (2) ◽  
pp. 65-68
Author(s):  
Ilay Hilal Kilic ◽  
Ilknur Donmez ◽  
Cihat Uzunkopru ◽  
Ayse Guler ◽  
Hadiye Sirin
Keyword(s):  
Ischemic Stroke ◽  
Case Report ◽  
Stroke Patient ◽  
Ischemic Stroke Patient ◽  
Ogilvie's Syndrome ◽  
Ogilvie’S Syndrome

Delayed Thrombus on Carotid Web: Case Report With Escalation of Treatment

2021 ◽  
pp. 194187442110589
Author(s):  
Thomas V. Kodankandath
Keyword(s):  
Ischemic Stroke ◽  
Case Report ◽  
Carotid Artery ◽  
Acute Ischemic Stroke ◽  
Ct Angiography ◽  
Stent Placement ◽  
Young Patients ◽  
Carotid Stenting ◽  
Definitive Treatment ◽  
Carotid Wall

Carotid artery web is an underrecognized source and is found in about 1-2% of patients with acute ischemic stroke. Although, first described four decades ago, optimal therapy for carotid web is not yet known. Carotid stenting and endarterectomy are increasingly used for carotid web treatment, given its definitive treatment and avoiding the complications associated with anticoagulation. The case reported here is of an ischemic stroke secondary to a mobile thrombus on a carotid web evident on CT angiography and successful definitive treatment with delayed carotid wall stent placement. In young patients who have a diagnosis of ischemic stroke, the carotid web should be on the differential and adequate neuroimaging with either CTA or DSA should be pursued.

Abstract 1122‐000169: The Carotid Web and Ischemic Stroke ‐ A Case Report

2021 ◽  
Vol 1 (S1) ◽  
Author(s):  
Aravind Reddy ◽  
Neil Suryadevara ◽  
Hesham Masoud ◽  
Palma Shaw ◽  
Karen Albright
Keyword(s):  
Ischemic Stroke ◽  
Case Report ◽  
Carotid Artery ◽  
Literature Review ◽  
Medical Therapy ◽  
Systematic Literature Review ◽  
Recurrent Stroke ◽  
Stroke Recurrence ◽  
Patient Case

Introduction : Case report: 63 year old African American woman with history of hypertension presented with acute onset of expressive aphasia. Her neurologic exam and NIHSS was significant for moderate aphasia with paraphasic errors and impairment of repetition. She was outside the treatment window for IV thrombolytic therapy. CT angiography of the head and neck in the ED showed moderate 60–70% stenosis of the left internal carotid artery secondary to a carotid web. She was admitted to the stroke service and started on DAPT with ASA and clopidogrel. MRI brain was obtained, which confirmed a small acute infarct in the posterior margin of the left sylvian fissure. Methods : Intervention and Follow‐up: Vascular surgery and interventional neurology were consulted to discuss the treatment options for the patient’s carotid web. Give the unique nature of the patient’s web with its triple lumen appearance, carotid endarterectomy (CEA) was favored over stenting, and the patient underwent left CEA. There were no immediate complications, and she was continued on DAPT for 21 days, then ASA monotherapy. One month follow‐up carotid dopplers of the left ICA showed patent flow without significant stenosis. On follow‐up evaluations at 3 and 12 months, the patient’s speech deficits had improved significantly and she reported no new stroke‐like symptoms. Results : Literature Review: Carotid webs (CaW) may be a potentially underrecognized cause of ischemic strokes. CaW are thin, fibrous tissue that extends from the wall of the carotid artery into the lumen in a shelf‐like projection. It is believed to be a variant of fibromuscular dysplasia. It is hypothesized that blood stasis on the downstream surface of the web may result in thrombus formation and thromboembolic stroke. The optimal treatment for CaW remains unclear, however there is some evidence to suggest that antiplatelet therapy alone may be insufficient to prevent recurrent stroke, with rates of recurrent stroke of 30–50% from a systematic literature review. Furthermore, there have been no reports of CaW positive remodeling over time, so patients likely remain at elevated risk for ischemic stroke without intervention. Conclusions : Discussion: Case series as well as systematic literature review have shown high rates of stroke recurrence in CaW patients treated with medical therapy alone. Data is still limited, however, CEA and carotid artery stenting (CAS) appear to be safe and effective revascularization procedures for CaW, with potentially significant reduction in recurrent stroke risk. CEA was preferred in our patient case due to the triple‐lumen appearance of the carotid web (Figure). CaW is a relatively underappreciated cause of ischemic strokes and the optimal management is not well‐established, however medical therapy alone appears to be sub‐optimal with high rates of stroke recurrence. Our patient case shows that carotid revascularization can be safe may be effective in preventing stroke recurrence.

scholarly journals A case report of thrombolysis resistance: thrombus ultrastructure in an ischemic stroke patient

BMC Neurology ◽  
2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Ye Li ◽  
Heying Wang ◽  
Lili Zhao ◽  
Yating Jian ◽  
Meijuan Dang ◽  
...  
Keyword(s):  
Ischemic Stroke ◽  
Case Report ◽  
Stroke Patient ◽  
Ischemic Stroke Patient

scholarly journals Thrombolysis in an Ischemic Stroke Patient on Dabigatran Anticoagulation: A Case Report

2012 ◽  
Vol 34 (3) ◽  
pp. 246-247 ◽  
Author(s):  
Luiz Carlos Porcello Marrone ◽  
Antônio Carlos Huf Marrone
Keyword(s):  
Ischemic Stroke ◽  
Case Report ◽  
Stroke Patient ◽  
Ischemic Stroke Patient

scholarly journals Multi‐modal combination therapy rescued a frequent ischemic stroke patient due to giant cell arteritis

2019 ◽  
Vol 7 (3) ◽  
pp. 132-135
Author(s):  
Yoshiaki Takahashi ◽  
Kota Sato ◽  
Namiko Matsumoto ◽  
Yuko Kawahara ◽  
Taijun Yunoki ◽  
...  
Keyword(s):  
Ischemic Stroke ◽  
Combination Therapy ◽  
Giant Cell Arteritis ◽  
Giant Cell ◽  
Stroke Patient ◽  
Ischemic Stroke Patient
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