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http://dx.doi.org/10.15324/kjcls.2020.52.1.78

Carotid Web in Duplex Sonography: 4 Cases  

Han, Minho (Department of Neurology, Severance Hospital, Yonsei University Health System)
Seo, Kangsik (Department of Neurology, Severance Hospital, Yonsei University Health System)
Choi, Junghye (Department of Neurology, Severance Hospital, Yonsei University Health System)
Publication Information
Korean Journal of Clinical Laboratory Science / v.52, no.1, 2020 , pp. 78-82 More about this Journal
Abstract
Carotid web is a disease that is rarely found in patients with ischemic stroke, whereas it is more frequently observed in cryptogenic stroke patients. Fibromuscular dysplasia is known as the cause of carotid web, and it has been reported that carotid web causes blood flow disturbance, resulting in both thrombus and embolic stroke. Carotid web is confused with carotid dissection because fibromuscular dysplasia causes relatively rigid fibrous structures to grow into the lumen of the carotid artery and this creates a double lumen that is seen on duplex sonography. In addition, carotid web is web-shaped and may be confused with other carotid artery diseases such as ulcerative plaque. However, carotid web tends to be thicker at the beginning and thinner at the end, and it also has no flutter. Therefore, this study reports on four cases of carotid web with the overall description of the carotid web and the characteristic findings of duplex sonography in patients with carotid web.
Keywords
Carotid web; Duplex sonography; Fibromuscular dysplasia;
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1 Haussen DC, Grossberg JA, Koch S, Malik A, Yavagal D, Gory B, et al. Multicenter experience with stenting for symptomatic carotid web. Interv Neurol. 2018;7:413-418. https://doi.org/10.1159/000489710   DOI
2 Zhang AJ, Dhruv P, Choi P, Bakker C, Koffel J, Anderson D, et al. A systematic literature review of patients with carotid web and acute ischemic stroke. Stroke. 2018;49:2872-2876. https://doi.org/10.1161/STROKEAHA.118.021907   DOI
3 Rainer WG, Cramer GG, Newby JP, Clarke JP. Fibromuscular hyperplasia of the carotid artery causing positional cerebral ischemia. Ann Surg. 1968;167:444-446. https://doi.org/10.1097/00000658-196803000-00021   DOI
4 Momose KJ, New PF. Non-atheromatous stenosis and occlusion of the internal carotid artery and its main branches. Am J Roentgenol Radium Ther Nucl Med. 1973;118:550-566. https://doi.org/10.2214/ajr.118.3.550
5 Cho BH, Suh SH, Lee KY. Carotid web: ultrasonographic and magnetic resonance image findings. J Korean Neurol Assoc. 2018;36:260-261. https://doi.org/10.17340/jkna.2018.3.31   DOI
6 Adams HP Jr, Bendixen BH, Kappelle LJ, Biller J, Love BB, Gordon DL, et al. Classification of subtype of acute ischemic stroke. Definitions for use in a multicenter clinical trial. TOAST. Trial of Org 10172 in acute stroke treatment. Stroke. 1993;24:35-41.   DOI
7 Hart RG, Diener HC, Coutts SB, Easton JD, Granger CB, O'Donnell MJ, et al. Embolic strokes of undetermined source: the case for a new clinical construct. Lancet Neurol. 2014;13: 429-438. https://doi.org/ 10.1016/S1474-4422(13)70310-7   DOI
8 Choi PM, Singh D, Trivedi A, Qazi E, George D, Wong J, et al. Carotid webs and recurrent ischemic strokes in the era of ct angiography. AJNR Am J Neuroradiol. 2015;36:2134-2139. https://doi.org/10.3174/ajnr.A4431
9 Olin JW, Froehlich J, Gu X, Bacharach JM, Eagle K, Gray BH, et al. The United States registry for fibromuscular dysplasia: results in the first 447 patients. Circulation. 2012;125:3182-3190. https://doi.org/10.1161/CIRCULATIONAHA.112.091223   DOI
10 Park HK, Hong KS. Carotid web: under-recognized etiology for ischemic stroke. J Neurosonol Neuroimag. 2018;10:100-105. https://doi.org/10.31728/jnn.2018.00038
11 Joux J, Chausson N, Jeannin S, Saint-Vil M, Mejdoubi M, Hennequin JL, et al. Carotid-bulb atypical fibromuscular dysplasia in young Afro-Caribbean patients with stroke. Stroke. 2014; 45:3711-3713. https://doi.org/10.1161/STROKEAHA.114.007313   DOI