ArticleFrontiers in neurology
Multimodal ultrasound-based morphological differences between symptomatic and asymptomatic carotid web.
Article in Frontiers in neurology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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6 authors.
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Abstract
Objective: We aimed to investigate the differences between symptomatic and asymptomatic carotid webs (CWs) using clinical and ultrasound morphological features and identify potential risk factors for CW-associated ischemic stroke. Methods: We retrospectively recruited 45 patients diagnosed with CW between January 2021 and September 2024 using digital subtraction angiography or computed tomography angiography. Patients were categorized according to the occurrence of CW-associated stroke. Multimodal ultrasound was used to identify the morphological characteristics of the CWs, carotid stenosis rate and hemodynamic alterations. Binary-variable logistic regression was used to assess the high-risk ultrasound morphologic features of CW-induced ischemic stroke. Results: Forty-five patients with CWs were identified, of whom 15 had stroke-related symptomatic CWs. Symptomatic patients demonstrated higher hyperlipidemia prevalence, had greater web dimensions (length, 5.80 ± 1.64 vs. 4.41 ± 1.67 mm, Conclusion: Symptomatic CWs exhibit distinct morphological and hemodynamic features than asymptomatic CWs. These ultrasound-detectable characteristics may help identify high-risk patients for stroke prevention.
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