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Surgical Exploration and Endarterectomy for Symptomatic Carotid Web With Retained Thrombus
Juan Felipe Daza-Ovalle1,2, Charles Esenwa1,2, Matthew Carnevale3
1Department of Neurology of Albert Einstein College of Medicine at Montefiore Health System Bronx New York NY.
Background:
Symptomatic carotid web with retained thrombus represents a potential source of embolic strokes. However, the absence of diagnostic guidelines contributes to heterogeneity in management recommendations.
Methods:
We present a patient with a right middle cerebral artery stroke attributable to carotid web with retained thrombus. Confirmation was obtained through surgical exploration, given the inconclusive imaging but strong index of suspicion.
Results:
The presence of carotid web with retained thrombus was confirmed through surgical exploration. Cervical endarterectomy was performed and a carotid web with an associated thrombus was successfully resected.
Conclusion:
We highlight the importance of having a high index of suspicion and prompt treatment to mitigate the risk of recurrent strokes when suspecting carotid web with retained thrombus.
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