Carotid web: "septo o banda carotidea": Two case reports
PDF (Español)
XML (Español)

Keywords

arterial carotid disease
fibromuscular dysplasia
magnetic resonance angiography
secondary prevention (MeSH)

Abstract

Carotid web is a term used to describe by images a vascular abnormality of development of the brachiocephalic system. It is an under-recognized cause of stroke, especially in young patients. Its frequency in the general population has not been determined and is associated with ischemic cerebrovascular events of embolic type. Two cases of symptomatic carotid web are reported, one manifested as a transient ischemic attack (TIA) and the other as a cerebral infarction. There is not an established optimal diagnostic method, MRI and CT angiography are presented as a good option and alternative to conventional angiography. Once the carotid web has been identified, the evidence is scarce regarding its management, there are some options such as antiplatelets, anticoagulation and invasive management with endarterectomy and stent placement, there is little information in Spanish literature on carotid web so we propose the term septo o banda carotidea to name this vascular abnormality.

https://doi.org/10.22379/24224022331

PDF (Español)
XML (Español)

References

McNamara MF. The carotid web: a developmental anomaly of the brachiocephalic system. Ann Vasc Surg. 1987;1(5):595-7.

Kyaw K, Latt H, Aung SSM, Babu J, Rangaswamy R. A rare case of carotid web presenting with ischemic stroke in a young woman and a brief review of the literature. Case Rep Med. 2018;3(19):1-4

Pacei F, Quilici L, Mullin S, Innocenti A, Valvassori L, Nardone R, Bet L. Web of the carotid artery: An under-recognized cause of ischemic stroke. J Clin Neurosci. 2018; 26(50):122-3.

Antigüedad-Muñoz J, de la Riva P, Arenaza Choperena G, Muñoz Lopetegi A, Marín N, Fernández-Eulate G, Moreno Valladares M, Martínez Zabaleta M. Internal carotid artery web as the cause of recurrent cryptogenic ischemic stroke. J Stroke Cerebrovasc Dis. 2018;5(27):86-87.

Compagne KCJ, van Es ACGM, Berkhemer OA, Borst J, Roos YBWEM, van Oostenbrugge RJ, van Zwam WH, Majoie CBLM, Marquering HA, Dippel DWJ, van der Lugt A, Emmer BJ. Prevalence of carotid web in patients with acute intracranial stroke due to intracranial large vessel occlusion. Radiology. 2018;286(3):1000-7.

Coutinho JM, Derkatch S, Potvin AR, Tomlinson G, Casaubon LK, Silver FL, Mandell DM. Carotid artery web and ischemic stroke: A case-control study. Neurology. 2017;88(1):65-9.

Choi PM, Singh D, Trivedi A, Qazi E, George D, Wong J, Demchuk AM, Goyal M, Hill MD, Menon BK. Carotid webs and recurrent ischemic strokes in the era of ct angiography. AJNR Am J Neuroradiol. 2015;36(11):2134-9.

Boesen ME, Eswaradass PV, Singh D, Mitha AP, Goyal M, Frayne R, Menon BK. MR imaging of carotid webs. Neuro- radiology. 2017;59(4):361-5.

Lantos JE, Chazen JL, Gupta A. Carotid web: Appearance at MR Angiography. AJNR Am J Neuroradiol. 2016; 37(1):5-6.

Fu W, Crockett A, Low G, Patel V. Internal carotid artery web: Doppler ultrasound with CT angiography correlation. J Radiol Case Rep. 2015;9(5):1-6.

Haussen DC, Grossberg JA, Bouslama M, PradiHa G, Belagaje S, Bianchi N, Allen JW, Frankel M, Nogueira RG. Carotid web (intimai fibromuscular dysplasia) has high stroke recurrence risk and is amenable to stenting. Stroke. 2017;48(11):3134-7.

Phair J, Trestman EB, Yean C, Lipsitz EC. Endarterectomy for a symptomatic carotid web. Vascular. 2017;25(5):553-6.

Martinez-Perez R, Lownie SP, Pandey SK, Boulton MR. Stent placement for carotid web. World Neurosurg. 2017; 98(879):e9-879.e11.

Elmokadem AH, Ansari SA, Sangha R, Prabhakaran S, Shaibani A, Hurley MC. Neurointerventional management of carotid webs associated with recurrent and acute cerebral ischemic syndromes. Interv Neuroradiol. 2016;22(4):432-7.

Mackey J. Evaluation and management of stroke in young adults. Continuum (Minneap Minn) . 2014;20(2):352-69.

Baumgartner RW, Arnold M, Baumgartner I, Mosso M, Gônner F, Studer A, et al. Carotid dissection with and without ischemic events: local symptoms and cerebral artery findings. Neurology. 2001;57(5):827-32.

Vertinsky AT, Schwartz NE, Fischbein NJ, Rosenberg J, Albers GW, Zaharchuk G. Comparison of multidetector CT angiography and MR imaging of cervical artery dissection. AJNR Am J Neuroradiol; 2008;29(9):1753-60.

Whitlock EP, Burda BU, Williams SB, Guirguis-Blake JM, Evans CV. Bleeding risk with aspirin use for primary prevention in adults: A systematic review for the U.S. Preventive services task force. Ann Intern Med. 2016;164(12):826-35.

Antithrombotic Trialist’ (ATT) Collaboration, Baigent C, Blackwell L, Collins R, Emberson J, Godwin J, Peto R, Buring J, Hennekens C, Kearney P, Meade T, Patrono C, Roncaglioni MC, Zanchetti A. Aspirin in the primary and secondary prevention of vascular disease: collaborative meta-analysis of individual participant data from randomized trials. Lancet. 2009;373(9678):1849-60.

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Downloads

Download data is not yet available.