A Case Study of Myofibroblast Accumulation in a Carotid Web - Takeaways - MDSpire

A Case Study of Myofibroblast Accumulation in a Carotid Web

  • By

  • Saki Kotani

  • Ryoji Yasumizu

  • Yasuhiro Takeuchi

  • Takumi Yamanaka

  • Kazuyuki Kuwayama

  • Keigo Matsumoto

  • February 7, 2026

  • 0 min

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  • 1

    A carotid web is a fibrous protrusion in the internal carotid artery that increases the risk of ischemic stroke, particularly in young patients.

  • 2

    The prevalence of carotid webs in patients under 60 with cryptogenic stroke is 9–37%, indicating a significantly higher stroke risk.

  • 3

    Optimal management for symptomatic carotid web remains uncertain, with options including antithrombotic therapy or surgical interventions like CEA.

  • 4

    In this case study, a 49-year-old male underwent CEA for an asymptomatic carotid web, resulting in the resolution of blood turbulence.

  • 5

    Histopathological analysis of the excised carotid web revealed myofibroblast accumulation, suggesting a potential role in its pathogenesis.

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