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Assessment of recurrent stroke risk in patients with a carotid web

JAMA May 14, 2021

Guglielmi V, Compagne KCJ, Sarrami AH, et al. - Utilizing data from the MR CLEAN trial (from 2010-2014) and MR CLEAN Registry (from 2014-2017), researchers conducted this comparative cohort study to evaluate the 2-year risk of recurrent stroke in patients with a symptomatic carotid web (CW). Baseline data were collected from 3,439 consecutive adult patients with anterior circulation LVO stroke and available computed tomography (CT)–angiography of the carotid bulb. The median age of the 3,439 patients with baseline CT-angiography assessed was 72 years (interquartile range, 61-80 years), and 1,813 (53%) were men. In this study, 1 of every 6 patients with symptomatic CW had a recurrent stroke within 2 years, implying that medical management alone may not be enough to protect patients with CW.

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