Moreda Nathalia Santana, de Almeida Henrique Alves, Grillo Vinicius Tadeu Ramos da Silva
Centro Universitário São Lucas - UNISL, Porto Velho, RO, Brasil.
Instituto Vascular e Endovascular de Rondônia - IVER, Porto Velho, RO, Brasil.
J Vasc Bras. 2025 Mar 14;24:e20240126. doi: 10.1590/1677-5449.202401262. eCollection 2025.
Carotid web is a rare and poorly understood condition associated with cryptogenic and recurrent acute ischemic stroke in young patients without atherosclerotic risk factors. We describe the case of a 58-year-old female patient with hypertension and dyslipidemia who had recurrent ischemic strokes for 5 years. Presence of carotid web was suggested by Doppler ultrasonography and confirmed by digital subtraction angiography. The patient underwent endarterectomy and, due to satisfactory internal carotid reflux, it was decided not to use a temporary vascular shunt. Endarterectomy and arteriorrhaphy with a bovine pericardium patch were performed. Although carotid web can be seen with imaging exams, detection can be challenging and it can mimic other conditions, such as arterial dissection, non-calcified atherosclerotic plaque, and intraluminal thrombus. The ease with which it can go unnoticed or misdiagnosed highlights the need to understand this disease.
颈动脉蹼是一种罕见且了解甚少的疾病，与无动脉粥样硬化风险因素的年轻患者的不明原因复发性急性缺血性卒中有关。我们描述了一例58岁患有高血压和血脂异常的女性患者，她有5年的复发性缺血性卒中病史。多普勒超声检查提示存在颈动脉蹼，并经数字减影血管造影证实。患者接受了动脉内膜切除术，由于颈内动脉反流情况良好，决定不使用临时血管分流器。实施了动脉内膜切除术并用牛心包补片进行动脉修补术。尽管颈动脉蹼可通过影像学检查发现，但检测可能具有挑战性，并且它可能模仿其他病症，如动脉夹层、非钙化动脉粥样硬化斑块和管腔内血栓。其容易被忽视或误诊凸显了了解这种疾病的必要性。
