Carotid web leads to new thrombus formation: computational fluid dynamic analysis coupled with histological evidence

Dan Ozaki, Toshiki Endo, Hiroyoshi Suzuki, Shin ichiro Sugiyama, Kaoru Endo, Ryo Itabashi, Miki Fujimura, Teiji Tominaga

Research output: Contribution to journalArticle

Abstract

Carotid web has been recognized as a rare cause of ischemic stroke with high recurrence rate. We describe a 48-year-old woman with carotid web who developed embolic stroke. We obtained a fresh thrombus from the internal carotid artery when carotid endarterectomy was performed. A preoperative computational fluid dynamics (CFD) study showed stagnation of blood around the web structure as well as the low wall shear stress. The rheological analysis newly disclosed mechanisms of thrombus formation related to the carotid web. CFD study in the carotid web may determine indication and timing of surgical interventions with further accumulation of clinical evidence.

Original languageEnglish
JournalActa neurochirurgica
DOIs
Publication statusAccepted/In press - 2020 Jan 1

Keywords

  • Carotid endarterectomy
  • Carotid web
  • Computational fluid dynamics
  • Recurrent stroke

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

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