Carotid web
Authors:
H. Zítek 1; E. Nossek 2; M. Sameš 1
Authors place of work:
Neurochirurgická klinika FZS UJEP, v Ústí nad Labem a KZ, a. s. –, Masarykovy nemocnice v Ústí nad, Labem, o. z.
1; Department of Neurosurgery, NYU, Grossman School of Medicine, New, York, New York, USA.
2
Published in the journal:
Cesk Slov Neurol N 2022; 85(5): 363-367
Category:
Přehledný referát
doi:
https://doi.org/10.48095/cccsnn2022363
Summary
Carotid web is considered to be a less common, but overlooked cause of recurrent cryptogenic ischemic stroke. It is defined as a fibromuscular dysplasia forming a shelf-like protrusion in the carotid bulb that alters regional hemodynamics with a high risk of blood clot formation and its embolization intracranially. The web could be well visualized on CTA; however, it can be missed in the absence of significant carotid stenosis or the presence of an intraluminal thrombus. Treatment includes antiplatelet therapy, but also interventions – carotid endarterectomy or endovascular stenting. The carotid web typically leads to ischemic stroke in younger patients without any other cardiovascular risk factors.
Keywords:
stroke – carotid web – cryptogenic ischemic stroke – arteria carotis interna
Zdroje
1. Sedova P, Brown RD, Zvolsky M et al. Incidence of hospitalized stroke in the Czech Republic: The National Registry of Hospitalized Patients. J Stroke Cerebrovasc Dis 2017; 26 (5): 979–986. doi: 10.1016/j.jstrokecerebrovasdis.2016.11.006.
2. Adams HP Jr, Bendixen BH, Kappelle LJ 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 (1): 35–41. doi: 10.1161/01.str.24.1.35.
3. Connett MC, Lansche JM. Fibromuscular hyperplasia of the internal carotid artery: report of a case. Ann Surg 1965; 162: 59–62. doi: 10.1097/00000658-196507000-00010.
4. Rainer WG, Cramer GG, Newby JP et al. Fibromuscular hyperplasia of the carotid artery causing positional cerebral ischemia. Ann Surg 1968; 167 (3): 444–446. doi: 10.1097/00000658-196803000-00021.
5. 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 (3): 550–566. doi: 10.2214/ajr.118.3.550.
6. Mac Grory B, Emmer BJ, Roosendaal SD et al. Carotid web: an occult mechanism of embolic stroke. J Neurol Neurosurg Psychiatry 2020; 91 (12): 1283–1289. doi: 10.1136/jnnp-2020-323938.
7. Joux J, Boulanger M, Jeannin S et al. Association between carotid bulb diaphragm and ischemic stroke in young afro-caribbean patients: a population-based case-control study. Stroke 2016; 47 (10): 2641–2644. doi: 10.1161/STROKEAHA.116.013918.
8. Kim SJ, Allen JW, Bouslama M et al. Carotid webs in cryptogenic ischemic strokes: a matched case-control study. J Stroke Cerebrovasc Dis 2019; 28 (12): 104402. doi: 10.1016/j.jstrokecerebrovasdis.2019.104402.
9. Coutinho JM, Derkatch S, Potvin AR et al. Carotid artery web and ischemic stroke: a case-control study. Neurology 2017; 88 (1): 65–69. doi: 10.1212/WNL.0000000000003464.
10. Sajedi PI, Gonzalez JN, Cronin CA et al. Carotid bulb webs as a cause of “cryptogenic” ischemic stroke. AJNR Am J Neuroradiol 2017; 38 (7): 1399–1404. doi: 10.3174/ajnr.A5208.
11. Compagne KCJ, van Es A, Berkhemer OA et al. Prevalence of carotid web in patients with acute intracranial stroke due to intracranial large vessel occlusion. Radiology 2018; 286 (3): 1000–1007. doi: 10.1148/radiol.2017170094.
12. Zhang AJ, Dhruv P, Choi P et al. A Systematic literature review of patients with carotid web and acute ischemic stroke. Stroke 2018; 49 (12): 2872–2876. doi: 10.1161/STROKEAHA.118.021907.
13. Mac Grory B, Nossek E, Reznik ME et al. Ipsilateral internal carotid artery web and acute ischemic stroke: a cohort study, systematic review and meta-analysis. PLoS One 2021; 16 (9): e0257697. doi: 10.1371/journal.pone.0257697.
14. Haussen DC, Grossberg JA, Bouslama M et al. Carotid web (intimal fibromuscular dysplasia) has high stroke recurrence risk and is amenable to stenting. Stroke 2017; 48 (11): 3134–3137. doi: 10.1161/STROKEAHA.117.019020.
15. Choi PM, Singh D, Trivedi A et al. Carotid webs and recurrent ischemic strokes in the era of CT angiography. AJNR Am J Neuroradiol 2015; 36 (11): 2134–2139. doi: 10.3174/ajnr.A4431.
16. Ozaki D, Endo T, Suzuki H et al. Carotid web leads to new thrombus formation: computational fluid dynamic analysis coupled with histological evidence. Acta Neurochir (Wien) 2020; 162 (10): 2583–2588. doi: 10.1007/s00701-020-04272-2.
17. Luo X, Li Z. Ultrasonic risk stratification of carotid web. Echocardiography 2019; 36 (11): 2103–2107. doi: 10.1111/echo.14521.
18. Joux J, Chausson N, Jeannin S et al. Carotid-bulb atypical fibromuscular dysplasia in young Afro-Caribbean patients with stroke. Stroke 2014; 45 (12): 3711–3713. doi: 10.1161/STROKEAHA.114.007313.
19. Compagne KCJ, Dilba K, Postema EJ et al. Flow patterns in carotid webs: a patient-based computational fluid dynamics study. AJNR Am J Neuroradiol 2019; 40 (4): 703–708. doi: 10.3174/ajnr.A6012.
20. Malek AM, Alper SL, Izumo S. Hemodynamic shear stress and its role in atherosclerosis. JAMA 1999; 282 (21): 2035–2042. doi: 10.1001/jama.282.21.2035.
21. Madaelil TP, Grossberg JA, Nogueira RG et al. Multimodality imaging in carotid web. Front Neurol 2019; 10: 220. doi: 10.3389/fneur.2019.00220.
22. Haussen DC, Grossberg JA, Koch S et al. Multicenter experience with stenting for symptomatic carotid web. Interv Neurol 2018; 7 (6): 413–418. doi: 10.1159/000489710.
23. Powers WJ, Rabinstein AA, Ackerson T et al. Guidelines for the early management of patients with acute ischemic stroke: 2019 update to the 2018 guidelines for the early management of acute ischemic stroke: a guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke 2019; 50 (12): e344–e418. doi: 10.1161/STR.0000000000000211.
24. Diener HC, Sacco RL, Easton JD et al. Dabigatran for prevention of stroke after embolic stroke of undetermined source. N Engl J Med 2019; 380 (20): 1906–1917. doi: 10.1056/NEJMoa1813959.
25. Hart RG, Sharma M, Mundl H et al. Rivaroxaban for stroke prevention after embolic stroke of undetermined source. N Engl J Med 2018; 378 (23): 2191–2201. doi: 10.1056/NEJMoa1802686.
26. Brinjikji W, Agid R, Pereira VM. Carotid stenting for treatment of symptomatic carotid webs: a single-center case series. Interv Neurol 2018; 7 (5): 233–240. doi: 10.1159/000486537.
27. Pereira BJA, Batista UC, Tosello RT et al. Web vessels: literature review and neurointerventional management. World Neurosurg 2018; 110: e907–e916. doi: 10.1016/j.wneu.2017.11.115.
28. Haynes J, Raz E, Tanweer O et al. Endarterectomy for symptomatic internal carotid artery web. J Neurosurg 2020: 1–8. doi: 10.3171/2020.5.JNS201107.
Štítky
Dětská neurologie Neurochirurgie NeurologieČlánek vyšel v časopise
Česká a slovenská neurologie a neurochirurgie
2022 Číslo 5
Nejčtenější v tomto čísle
- Onemocnění bederní páteře – nová neurologická nemoc z povolání
- Cenobamát
- Gyrus dentatus – anatomie, cévní zásobení, funkce a neuropatologie
- Karotický web