Payam Sajedi1, Lydia Chelala2, Joel Nunez-Gonalez3, Carolyn Cronin4, Steven Kittner5, Jiachen Zhuo6, Yang Zhang7, Dheeraj Gandhi8, Prashant Raghavan9. 1. Department of Diagnostic Radiology, University of Maryland School of Medicine, 655, West Baltimore Street, Baltimore, MD 21201, US. Electronic address: psajedi@gmail.com. 2. Department of Diagnostic Radiology, University of Maryland School of Medicine, 655, West Baltimore Street, Baltimore, MD 21201, US. Electronic address: lydia.chelala@gmail.com. 3. Department of Neurology, University of Maryland School of Medicine, 655, West Baltimore Street, Baltimore, MD 21201, US. Electronic address: jnunez@umm.edu. 4. Department of Neurology, University of Maryland School of Medicine, 655, West Baltimore Street, Baltimore, MD 21201, US. Electronic address: ccronin@som.umaryland.edu. 5. Department of Neurology, University of Maryland School of Medicine, 655, West Baltimore Street, Baltimore, MD 21201, US. Electronic address: skittner@som.umaryland.edu. 6. Department of Diagnostic Radiology, University of Maryland School of Medicine, 655, West Baltimore Street, Baltimore, MD 21201, US. Electronic address: jzhuo@umm.edu. 7. Department of Pathology, University of Maryland School of Medicine, 655, West Baltimore Street, Baltimore, MD 21201, US. Electronic address: yzhang1@umm.edu. 8. Department of Neurointerventional Radiology, University of Maryland School of Medicine, 655, West Baltimore Street, Baltimore, MD 21201, US. Electronic address: dgandhi@umm.edu. 9. Department of Diagnostic Radiology, University of Maryland School of Medicine, 655, West Baltimore Street, Baltimore, MD 21201, US. Electronic address: praghavan@umm.edu.
Abstract
BACKGROUND AND PURPOSE: 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: 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: 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: 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.
BACKGROUND AND PURPOSE: 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: 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: 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: 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.
Authors: Emilio Rodríguez-Castro; Susana Arias-Rivas; María Santamaría-Cadavid; Iria López-Dequidt; Manuel Rodríguez-Yáñez; Antonio Jesús Mosqueira; Miguel Blanco Ulla; Fernando Vázquez Herrero; José Antonio Castiñeira; Elena Martínez-Sáez; Edurne Pérez Béliz; Nilo Mosquera; Diego Caicedo; Máximo Fraga; José Manuel Pumar Journal: J Neurol Date: 2022-06-17 Impact factor: 6.682