ArticleJournal of stroke2021
Stroke Recurrence in First-Ever Symptomatic Carotid Web: A Cohort Study.
Article in Journal of stroke, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
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Who cites it
23 citing papers in PubMed, 44 citations in OpenAlex.
- Recurrent Large-Vessel Occlusion Associated With Flow Disturbance in a Carotid Web.Journal of clinical neurology (Seoul, Korea) · 2026Article
- Safety and efficacy of staged bilateral carotid artery stenting for bilateral carotid webs.Journal of cerebrovascular and endovascular neurosurgery · 2026Article
- Recurrent ischemic stroke caused by a carotid web: a case report.Journal of medical case reports · 2026Article
- A case of carotid web with thrombosis causing stroke in a young adult.BMC neurology · 2026Article
- A carotid web with accumulation of myofibroblasts: a case report.BMC neurology · 2026Article
- Cerebrovascular fibromuscular dysplasia.Therapeutic advances in neurological disorders · 2026Review
- Comparative analysis of stenting for carotid web and atherosclerotic disease.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2025Article
- Silent Threats: Asymptomatic Re-Thrombosis in Carotid Web and the Window for Preventive Intervention.Neurointervention · 2025Article
- Status epilepticus of carotid web after carotid artery stenting: A case report.The Journal of international medical research · 2025Article
- Prevalence, clinical characteristics, and outcomes of carotid web in Chinese patients with acute ischemic stroke due to intracranial large vessel occlusion.Quantitative imaging in medicine and surgery · 2025Article
- Intermittent dizziness due to a diaphragm of the common carotid artery successfully treated by stenting.Radiology case reports · 2025Article
- Outcomes after carotid revascularization for symptomatic carotid artery web: A multi-institutional cohort study.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2025Article
- Article
- Endovascular treatment of total internal carotid artery occlusion caused by a carotid web: a case description and literature analysis.Quantitative imaging in medicine and surgery · 2025Article
- Carotid Web as a Cause of Ischemic Stroke: Effective Treatment with Endovascular Techniques.Journal of clinical medicine · 2025Article
- Recurrent thrombus formation in a carotid web: highlighting the importance of timely surgical intervention. Illustrative case.Journal of neurosurgery. Case lessons · 2025Article
- In-hospital recurrent stroke in ipsilateral carotid web patients undergoing thrombectomy.Annals of clinical and translational neurology · 2024Article
- Subjects with carotid webs demonstrate pro-thrombotic hemodynamics compared to subjects with carotid atherosclerosis.Scientific reports · 2024Article
- The differences between carotid web and carotid web with plaque: based on multimodal ultrasonic and clinical characteristics.Insights into imaging · 2024Article
- Carotid Web as a Source of Thromboembolism in a Young African American Female.Ochsner journal · 2024Article
Corrections and comments
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Authors and funding
13 authors at 4 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
background and purposeCarotid web (CaW) is an intimal variant of fibromuscular dysplasia responsible for ipsilateral cerebral ischemic events (CIE). Symptomatic CaW likely has a high risk of recurrent CIE, but no salient prospective data are available. We aimed to assess recurrence rate and its predictors after a first-ever CIE.
methodsConsecutive Afro-Caribbean patients who had cryptogenic first-ever CIEs (ischemic stroke [IS] or transient ischemic attack [TIA]) associated with ipsilateral CaW were included in this multicenter observational cohort study. The follow-up (January 2008 to March 2019) focused on CIE recurrences. Kaplan-Meier method assessed rates of recurrences and Cox proportional hazards regression analyzed risk factors.
resultsNinety-two patients (79 first-ever ISs and 13 TIAs; mean age±standard deviation, 49.8±9.9 years; 52 [56.5%] women) were included. During a mean follow-up of 50.5±29.6 months, 19 (20.7%) patients experienced recurrent ipsilateral CIEs (16 ISs and three TIAs). Of 23 patients receiving surgery/stenting treatment, no recurrence occurred after the intervention (median follow-up, 39.8 months [interquartile range, 27.6 to 72.4]). Under medical treatment alone, the annual recurrent CIE rate was 6.9%, and the cumulative rate was 4.4% at 30-day, 10.8% at 1-year, 19.8% at 2-year, 23.2% at 3-year, and 27.3% at 5-year. Presence of silent cerebral infarctions was the only independent risk factor of CIE recurrences (hazard ratio, 6.99; 95% confidence interval, 2.4 to 20.4; P=0.004).
conclusionsUnder medical treatment alone, symptomatic CaW was associated with a high rate of recurrence that reached 27.3% at 5-year. Surgery/stenting seems to be efficient, and randomized control trials are required to confirm the benefit of these interventions.
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