Evidence map›Paper›PMID 30410519›Full record

ArticleInterventional neurology2018

Multicenter Experience with Stenting for Symptomatic Carotid Web.

Diogo C Haussen, Jonathan A Grossberg, Sebastian Koch, Amer Malik, Dileep Yavagal, Benjamin Gory, Wolfgang Leesch, Ameer E Hassan, Anne-Laure Derelle, Sébastien Richard and 3 more

Open access · bronzeAbstract read
In one paragraph

Article in Interventional neurology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 1 pooled it
4.6field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 1 synthesis or guideline pooled it, 67 citations in OpenAlex.

  1. Guideline
  2. Review
  3. Article
  4. Article
  5. Safety and efficacy of staged bilateral carotid artery stenting for bilateral carotid webs.Journal of cerebrovascular and endovascular neurosurgery · 2026
    Article
  6. Article
  7. Article
  8. Cerebrovascular fibromuscular dysplasia.Therapeutic advances in neurological disorders · 2026
    Review
  9. Comparative analysis of stenting for carotid web and atherosclerotic disease.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2025
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Cerebrovascular Fibromuscular Dysplasia - A Practical Review.Vascular health and risk management · 2023
    Review
  18. Article
  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 5 institutions in 2 countries.

Diogo C HaussenEmory University/Grady Memorial Hospital, Atlanta, Georgia, USA.
Jonathan A GrossbergEmory University/Grady Memorial Hospital, Atlanta, Georgia, USA.
Sebastian KochUniversity of Miami/Jackson Memorial Hospital, Miami, Florida, USA.
Amer MalikUniversity of Miami/Jackson Memorial Hospital, Miami, Florida, USA.
Dileep YavagalUniversity of Miami/Jackson Memorial Hospital, Miami, Florida, USA.
Benjamin GoryCentre Hospitalier Régional Universitaire de Nancy, Nancy, France.
Wolfgang LeeschRiverside Neurovascular Specialists, Newport News, Virginia, USA.
Ameer E HassanValley Baptist Medical Center, Harlingen, Texas, USA.
Anne-Laure DerelleCentre Hospitalier Régional Universitaire de Nancy, Nancy, France.
Sébastien RichardCentre Hospitalier Régional Universitaire de Nancy, Nancy, France.
Clara BarreiraEmory University/Grady Memorial Hospital, Atlanta, Georgia, USA.
Gustavo PradillaEmory University/Grady Memorial Hospital, Atlanta, Georgia, USA.
Raul G NogueiraEmory University/Grady Memorial Hospital, Atlanta, Georgia, USA.
Grady Memorial Hospital · USCentre Hospitalier Régional et Universitaire de Nancy · FRUniversity of Miami · USRiverside Regional Medical Center · USValley Baptist Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA carotid web (CaW) is a shelf-like lesion in the posterior aspect of the internal carotid bulb and represents an intimal variant of fibromuscular dysplasia. CaW has been associated with recurrent strokes and conventionally treated with surgical excision. We report a multicenter experience of stenting in patients with symptomatic CaWs.

methodsRetrospective review of consecutive patients admitted to 5 comprehensive stroke centers who were identified to have a symptomatic CaW and treated with carotid stenting. A symptomatic CaW was defined by the presence of a shelf-like/linear, smooth filling defect in the posterior aspect of the carotid bulb diagnosed by neck CT angiography (CTA) and confirmed with conventional angiography in patients with negative stroke workup.

resultsTwenty-four patients with stented symptomatic CaW were identified (stroke in 83% and transient ischemic attack in 17%). Their median age was 47 years (IQR 41-61), 14 (58%) were female, and were 17 (71%) black. The degree of stenosis by NASCET was 0% (range 0-11). All patients were placed on dual antiplatelets and stented at a median of 9 days (IQR 4-35) after the last event. Closed-cell stents were used in 18 (75%) of the cases. No periprocedural events occurred with the exception of 2 cases of asymptomatic hypotension/bradycardia. Clinical follow-up after stent placement occurred for a median of 12 months (IQR 3-19) with no new cerebrovascular events noted. Functional independence at 90 days was achieved in 22 (91%) patients. Follow-up vascular imaging (ultrasound

conclusionsStenting for symptomatic CaW appears to be a safe and effective alternative to surgical resection. Further studies are warranted.

Indexed as

Carotid webFibromuscular dysplasiaStentStroke

Identifiers

PMID30410519
PMCPMC6216720
OpenAlexW2863615114

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.