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Clinical Article
Analysis of carotid web in vessel wall magnetic resonance imaging
ZHENG Hanpei  LI Sirui  LI Huan  WU Xiangbo  MEI Bin  WANG Yinghui  XU Haibo 

Cite this article as: Zheng HP, Li SR, Li H, et al. Analysis of carotid web in vessel wall magnetic resonance imaging. Chin J Magn Reson Imaging, 2020, 11(5): 343-347. DOI:10.12015/issn.1674-8034.2020.05.005.


[Abstract] Objective: To explore the MR signal characteristics of carotid web with vessel wall magnetic resonance imaging (VW MRI).Materials and Methods: Ten patients with carotid web diagnosed by computed tomography angiography (CTA) was collected to discover clinical value of VW MRI in the diagnosis of carotid web.Results: Carotid web was isointension in T1WI and hyperintense in T2WI and obvious enhancement after contrast. Carotid web has six imaging characteristics: "vessel wall thickness" (100%) and "projection" (100%) and "septum" (90%) and "double lumen sign" (80%) and "valve sign" (60%) and "contrast stasis" (30%).Conclusions: Carotid web has a high relationship with ischemic stroke in patients with no obvious cardiovascular risk factors. VW MRI can provide valuable and characteristic imaging in the diagnosis of carotid web.
[Keywords] carotid web;high-resolution;vessel wall magnetic resonance imaging

ZHENG Hanpei Department of Radiology, Zhongnan Hospital of Wuhan University, Wuhan 430071, China

LI Sirui Department of Radiology, Zhongnan Hospital of Wuhan University, Wuhan 430071, China

LI Huan Department of Radiology, Zhongnan Hospital of Wuhan University, Wuhan 430071, China

WU Xiangbo Department of Neurology, Zhongnan Hospital of Wuhan University, Wuhan 430071, China

MEI Bin Department of Neurology, Zhongnan Hospital of Wuhan University, Wuhan 430071, China

WANG Yinghui Department of Ultrasound, Zhongnan Hospital of Wuhan University, Wuhan 430000, China

XU Haibo* Department of Radiology, Zhongnan Hospital of Wuhan University, Wuhan 430071, China

*Correspondence to: Xu HB, E-mail: xuhaibo1120@hotmail.com

Conflicts of interest   None.

ACKNOWLEDGMENTS  This article is supported by Major State Research Development Program of China No. 2017YFC0108803
Received  2019-11-23
Accepted  2020-04-10
DOI: 10.12015/issn.1674-8034.2020.05.005
Cite this article as: Zheng HP, Li SR, Li H, et al. Analysis of carotid web in vessel wall magnetic resonance imaging. Chin J Magn Reson Imaging, 2020, 11(5): 343-347. DOI:10.12015/issn.1674-8034.2020.05.005.

[1]
Choi PMC, 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.
[2]
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.
[3]
Coutinho JM, Derkatch S, Potvin AR, et al. Carotid artery web and ischemic stroke a case-control study. Neurology, 2017, 88(1): 65-69.
[4]
Sajedi P, Chelala L, Nunez-Gonalez J, et al. Carotid webs and ischemic stroke: experiences in a comprehensive stroke center. J Neuroradiol, 2019, 46(2): 136-140.
[5]
Kim SJ, Nogueira RG, Haussen DC. Current understanding and gaps in research of carotid webs in ischemic strokes: a review. JAMA Neurol, 2018, 76(3): E1-E7.
[6]
Compagne K, 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.
[7]
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.
[8]
Madaelil TP, Grossberg JA, Nogueira RG, et al. Multimodality imaging in carotid web. Front Neurol, 2019, DOI: .
[9]
Oppenheim C, Naggara O, Touze E, et al. High-resolution MR imaging of the cervical arterial wall: what the radiologist needs to know. Radiographics, 2009, 29(5): 1413-1431.
[10]
Boesen ME, Eswaradass PV, Singh D, et al. MR imaging of carotid webs. Neuroradiology, 2017, 59(4): 361-365.
[11]
Dhruv P, Kim J, Koffel J, et al. A Systematic literature review of patients with carotid web and acute ischemic stroke. Neurology, 2017, 88(16Suppl): 285-286.
[12]
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.
[13]
Slovut DP, Olin JW. Fibromuscular dysplasia. New Engl J Med, 2005, 350(18): 159-169.
[14]
Hosseini AA, Kandiyil N, Macsweeney ST, et al. Carotid plaque hemorrhage on magnetic resonance imaging strongly predicts recurrent ischemia and stroke. Ann Neurol, 2013, 73(6): 774-784.
[15]
Mandell DM, Matouk CC, Farb RI, et al. Vessel wall MRI to differentiate between reversible cerebral vasoconstriction syndrome and central nervous system vasculitis: preliminary results. Stroke, 2012, 43(3): 860-862.
[16]
Pfefferkorn T, Saam T, Rominger A, et al. Vessel wall inflammation in spontaneous cervical artery dissection: a prospective, observational positron emission tomography, computed tomography, and magnetic resonance imaging study. Stroke, 2011, 42(6): 1563-1568.

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