Zhou F, Xu Z Z, Ji R J, Ma L, Ke D Q, Liang H
Department of Neurology, the First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou 310003, China; Department of Neurology, Shaoxing Second Hospital, Shaoxing, Zhejiang 312000, China.
Department of Neurology, the First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou 310003, China.
Zhonghua Nei Ke Za Zhi. 2019 Aug 1;58(8):599-601. doi: 10.3760/cma.j.issn.0578-1426.2019.08.010.
Carotid web is a rare risk factor of ischemic stroke. A total of 32 (0.54%) patients with carotid web were finally diagnosed in 5 943 patients who underwent carotid computerized tomography angiography (CTA) in two hospitals. Only one patient received carotid endarterectomy that pathological findings were fibrous tissue hyperplasia of vascular wall with mucinous degeneration. Stent implantation was administrated in two cases. Among 13 asymptomatic patients, the observational follow-up period was (20.9±12.4) months without strokes. Carotid web is a rare aberration. Asymptomatic patients with carotid web are usually silent. Large sized cohort and long-term follow-up are further needed.
颈动脉蹼是缺血性卒中的一种罕见危险因素。在两家医院接受颈动脉计算机断层血管造影（CTA）的5943例患者中，最终确诊32例（0.54%）患有颈动脉蹼。仅1例患者接受了颈动脉内膜切除术，病理结果为血管壁纤维组织增生伴黏液样变性。2例患者接受了支架植入术。13例无症状患者的观察随访期为（20.9±12.4）个月，均未发生卒中。颈动脉蹼是一种罕见的异常情况。无症状的颈动脉蹼患者通常没有症状。进一步需要大样本队列和长期随访。
