More articles from EXTRACRANIAL VASCULAR
- Carotid Near-Occlusion: A Comprehensive Review, Part 2—Prognosis and Treatment, Pathophysiology, Confusions, and Areas for Improvement
Carotid near-occlusion is distal luminal collapse of the internal carotid artery beyond a tight stenosis. Part 2 of this systematic review focuses on prognosis and treatment and pathophysiology. Areas of confusion regarding terminology, diagnosis, and prognosis are also covered.
- Carotid Near-Occlusion: A Comprehensive Review, Part 1—Definition, Terminology, and Diagnosis
Carotid near-occlusion is distal luminal collapse of the internal carotid artery beyond a tight stenosis. Calculating percentage stenosis for carotid near-occlusion is fallacious, and near-occlusion assessment is advised before measuring for percentage stenosis. This systematic review presents what is known about carotid near-occlusion and focuses on definition, terminology, and diagnosis.
- Carotid Webs and Recurrent Ischemic Strokes in the Era of CT Angiography
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. In the prospective series in this study, the mean age was 50 years, and 5 of 7 patients were women. Recurrent stroke was seen in 5 of 7. Histopathology suggested a high probability of fibromuscular dysplasia. In the retrospective series, carotid webs were seen in 7 of 576 patients. Carotid web may be an important cause of ischemic stroke in patients with otherwise no determined mechanism of stroke and may present a high risk of recurrent stroke.