Carotid webs and ischemic stroke: Experiences in a comprehensive stroke center.
CTA
Carotid web
Ischemic stroke
Journal
Journal of neuroradiology = Journal de neuroradiologie
ISSN: 0150-9861
Titre abrégé: J Neuroradiol
Pays: France
ID NLM: 7705086
Informations de publication
Date de publication:
Mar 2019
Mar 2019
Historique:
received:
03
12
2017
revised:
18
05
2018
accepted:
11
09
2018
pubmed:
3
10
2018
medline:
30
7
2019
entrez:
2
10
2018
Statut:
ppublish
Résumé
Carotid webs are intraluminal filling defects at the carotid bulb which are considered rare, though possibly underappreciated entities with recent studies demonstrating a likely casual association with ischemic stroke. The purpose of the study is to describe our recent experience with clinical and imaging manifestations of carotid webs. A retrospective review of CTA neck studies in all adult patients presenting to our institution during the 19-month study interval was performed to determine the presence of carotid webs. Subsequent chart review of these patients with webs was performed to assess their clinical history and to obtain demographic detail. A total of 14 patients were identified with carotid webs in the study population. The mean age of patients with webs was 42.1 years (range: 28-54), consisting mostly of African Americans (86%) and females (64%). Ten (71%) of web patients had a history of ischemic stroke, each ipsilateral to the side of web, and at least four of these patients had recurrent ischemic stroke. We provide one of the largest sample sizes of webs gathered in a single study. Given its association with ischemic stroke, carotid webs should be assessed for in all patients presenting with ischemic stroke, especially younger African Americans.
Sections du résumé
BACKGROUND AND PURPOSE
OBJECTIVE
Carotid webs are intraluminal filling defects at the carotid bulb which are considered rare, though possibly underappreciated entities with recent studies demonstrating a likely casual association with ischemic stroke. The purpose of the study is to describe our recent experience with clinical and imaging manifestations of carotid webs.
MATERIALS AND METHODS
METHODS
A retrospective review of CTA neck studies in all adult patients presenting to our institution during the 19-month study interval was performed to determine the presence of carotid webs. Subsequent chart review of these patients with webs was performed to assess their clinical history and to obtain demographic detail.
RESULTS
RESULTS
A total of 14 patients were identified with carotid webs in the study population. The mean age of patients with webs was 42.1 years (range: 28-54), consisting mostly of African Americans (86%) and females (64%). Ten (71%) of web patients had a history of ischemic stroke, each ipsilateral to the side of web, and at least four of these patients had recurrent ischemic stroke.
CONCLUSION
CONCLUSIONS
We provide one of the largest sample sizes of webs gathered in a single study. Given its association with ischemic stroke, carotid webs should be assessed for in all patients presenting with ischemic stroke, especially younger African Americans.
Identifiants
pubmed: 30273631
pii: S0150-9861(17)30512-6
doi: 10.1016/j.neurad.2018.09.003
pii:
doi:
Types de publication
Journal Article
Langues
eng
Pagination
136-140Informations de copyright
Copyright © 2018 Elsevier Masson SAS. All rights reserved.