Use of intravascular optical coherence tomography to confirm the diagnosis of a carotid web in a patient with recurrent ipsilateral embolic strokes and evaluate the response to stenting. Issue 2 (April 2023)

• Record Type: Journal Article
• Authors: Oushy, Soliman; Flemming, Kelly D.; Cloft, Harry; Savastano, Luis E
• Is Part Of: Interventional neuroradiology. Volume 29:Issue 2(2023)
• Page Start: 217
• Page End: 221
• Publication Date: 2023-04
• Subjects: Intravascular OCT -- carotid web -- diagnosis -- stroke; Nervous system -- Interventional radiology -- Periodicals; Nervous system -- Radiography -- Periodicals; Nervous System Diseases -- Periodicals -- radiography; Neuroradiography -- Periodicals; Radiography, Interventional -- Periodicals; Nervous system -- Radiography; Periodicals; 617.4805
• DOI: 10.1177/15910199221080878
• Languages: English
• ISSNs: 1591-0199

Abstract

A Carotid web (CaW) is defined as a focal shelf-like projection of non-atheromatous, fibrous tissue along the posterior wall of the carotid bulb. CaW are rare and commonly overlooked lesions increasingly recognized as a cause of stroke in otherwise healthy patients. Intravascular imaging modalities such as intravascular ultrasound and optical coherence tomography (OCT) have been proposed as an adjunct to digital subtraction angiography for the evaluation of CaW. However, the use of OCT in CaW has yet to be described. This report investigated the utility of OCT as an adjunct imaging modality in the evaluation of CaW morphology in a young patient with recurrent ischemic strokes.