中国卒中杂志2025，Vol.20Issue(6)：728-733,6.DOI:10.3969/j.issn.1673-5765.2025.06.008
颈动脉蹼的超声特征与缺血性卒中的关系
The Relationship between Ultrasonographic Features of Carotid Web and Ischemic Stroke
摘要
Abstract
Objective To evaluate the structural features of the carotid web by vascular ultrasound and explore the relationship with ischemic stroke. Methods This retrospective study consecutively enrolled patients with CTA-confirmed carotid web and unilateral carotid territory ischemic stroke at Beijing Tiantan Hospital,Capital Medical University from January 2021 to June 2024.Patients were divided into the ipsilateral stroke group and the contralateral stroke group based on the presence of ipsilateral ischemic stroke.Vascular ultrasound was used to measure carotid web length,thickness,and angulation relative to the vessel wall.Additional parameters,including laterality,location,attachment site,mobility with blood flow,orientation relative to flow direction,and presence of thrombosis around the carotid web were documented.Structural differences in carotid webs were compared between the two groups. Results This study enrolled 102 carotid web patients,with 70 in the ipsilateral stroke group and 32 in the contralateral stroke group.The incidence of limb weakness and motor impairment was significantly higher in the ipsilateral stroke group(54.3％ vs.34.4％,P=0.047),whereas headache was more frequently observed in the contralateral stroke group(15.6％ vs.0,P=0.003).Ultrasonographic findings demonstrated a significantly higher prevalence of thrombosis around the carotid web in the ipsilateral stroke group compared to the contralateral group(84.3％ vs.50.0％,P＜0.001).However,there were no significant differences in the laterality,location,attachment site,length,thickness,angulation relative to the vessel wall,mobility with blood flow,and orientation relative to the flow direction of the carotid web between the two groups(all P＞0.05). Conclusions This study demonstrated that thrombosis around the carotid web may be associated with ipsilateral ischemic stroke.关键词
颈动脉蹼/缺血性卒中/超声检查Key words
Carotid web/Ischemic stroke/Ultrasonography分类
医药卫生引用本文复制引用
郭莉,宋欣同,张冠一,张倩,鞠奕,赵性泉..颈动脉蹼的超声特征与缺血性卒中的关系[J].中国卒中杂志,2025,20(6):728-733,6.基金项目
北京学者计划2024-赵性泉(097) （097）
