ArticleAJNR. American journal of neuroradiology2015
Carotid Webs and Recurrent Ischemic Strokes in the Era of CT Angiography.
Article in AJNR. American journal of neuroradiology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 97 papers, 1 of them a synthesis that pooled it.
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Who cites it
97 citing papers in PubMed, 1 synthesis or guideline pooled it, 235 citations in OpenAlex.
- Ipsilateral internal carotid artery web and acute ischemic stroke: A cohort study, systematic review and meta-analysis.PloS one · 2021Pooled it
- Discrepant Imaging Findings in Carotid Web: Challenges in Differentiating from Carotid Stenosis Mimics.Asian journal of neurosurgery · 2026Article
- Ultra-high-resolution photon-counting CT argues against a suspected bilateral carotid web: a case report.Emergency radiology · 2026Article
- Morphological and clinical predictors of symptomatic carotid webs: a cross-validated analysis of 124 webs.Neuroradiology · 2026Article
- Non-stenotic Carotid Disease: Review of the Literature and Case Discussion of TCAR for Treatment.Seminars in neurology · 2026Review
- Carotid web: an underrecognized cause of ischemic stroke in a young patient.BJR case reports · 2026Article
- Carotid web in patients with embolic stroke of undetermined source undergoing endovascular therapy for anterior circulation large vessel occlusion.Neuroradiology · 2026Article
- Safety and efficacy of staged bilateral carotid artery stenting for bilateral carotid webs.Journal of cerebrovascular and endovascular neurosurgery · 2026Article
- Extra-Carotid Arterial Webs: A Single-Center Series and Systematic Review.Stroke (Hoboken, N.J.) · 2026Article
- Recurrent ischemic stroke caused by a carotid web: a case report.Journal of medical case reports · 2026Article
- A case of carotid web with thrombosis causing stroke in a young adult.BMC neurology · 2026Article
- Management Dilemma of an Asymptomatic Carotid Web in a High-Risk Patient: A Case Report.Cureus · 2026Article
- Acute Ischemic Stroke Due to a Mobile Thrombus Adherent to a Carotid Web.Internal medicine (Tokyo, Japan) · 2026Article
- A carotid web with accumulation of myofibroblasts: a case report.BMC neurology · 2026Article
- Clinical analysis of 48 patients with carotid web diagnosed by digital subtraction angiography.Frontiers in neurology · 2026Article
- Carotid web as a risk factor for large stroke: Prevalence in consecutive carotid endarterectomy cases.Surgical neurology international · 2026Article
- Cerebrovascular fibromuscular dysplasia.Therapeutic advances in neurological disorders · 2026Review
- Heart-brain axis pathophysiological understanding and clinical impact.Frontiers in cardiovascular medicine · 2026Review
- Carotid web ultrasonography and its associations with ischemic stroke: a preliminary observational study.BMC neurology · 2025Observational
- Silent Threats: Asymptomatic Re-Thrombosis in Carotid Web and the Window for Preventive Intervention.Neurointervention · 2025Article
37 more citing papers are in PubMed but not listed here.
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Authors and funding
10 authors at 4 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
background and purposeCarotid webs may cause recurrent ischemic stroke. We describe the prevalence, demographics, clinical presentation, imaging features, histopathology, and stroke risk associated with this under-recognized lesion. MATERIALS AND
methodsA carotid web was defined on CTA as a thin intraluminal filling defect along the posterior wall of the carotid bulb just beyond the carotid bifurcation on oblique sagittal section CTA that was seen as a septum on axial CTA. Using a prospective case series from April 2013 to April 2014, we describe the demographics, spectrum of imaging features on CTA, and histopathology of these carotid webs. From a retrospective analysis of patients at our center from May 2012 to April 2013 who had a baseline head and neck CTA followed by a brain MR imaging within 1-2 days of the CTA, we determine the period prevalence of carotid webs and the prevalence of ipsilateral stroke on imaging.
resultsIn the prospective series, the mean age was 50 years (range, 41-55 years); 5/7 patients were women. Recurrent stroke was seen in 5/7 (71.4%) patients with the carotid web; time to recurrence ranged from 1 to 97 months. Histopathology suggested a high probability of fibromuscular dysplasia. In the retrospective series, carotid webs were seen in 7/576 patients for a hospital-based-period prevalence of 1.2% (95% CI, 0.4%-2.5%). Two of these 7 patients had acute stroke in the vascular territory of the carotid web.
conclusionsA carotid web may contribute to recurrent ischemic stroke in patients with no other determined stroke mechanism. Intimal variant fibromuscular dysplasia is the pathologic diagnosis in most cases. The prevalence of carotid web is low, while the optimal management strategy remains unknown.
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