Carotid Webs and Ischemic Stroke: Experiences in a Comprehensive Stroke Center

Publication date: Available online 28 September 2018

Source: Journal of Neuroradiology

Author(s): Payam Sajedi, Lydia Chelala, Joel Nunez-Gonalez, Carolyn Cronin, Steven Kittner, Jiachen Zhuo, Yang Zhang, Dheeraj Gandhi, Prashant Raghavan

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.

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.

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