Ultrasound diagnosis of the carotid webs. Literature review and a clinical case using modern vector analysis technology

Abstract

Carotid wed (CW) is a rare pathology representing intimal protrusion in the bifurcation of the common carotid or sinus of internal carotid arteries, associated with embolic cryptogenic stroke and high risk of its recurrence despite ongoing antiplatelet therapy. Therefore, accurate and timely diagnosis of this pathology is of utmost importance. Ultrasound is a first-line method, but currently only a few reports are devoted to the ultrasound description of CW, which often leads to missed or misdiagnosis of the disease. This paper describes a case of clinically asymptomatic CW and summarizes the literature data on the ultrasound characteristics of this pathology.