Symptomatic stratification based on morphological features of carotid WEB (SCORE-WEB) - Summary - MDSpire

Symptomatic stratification based on morphological features of carotid WEB (SCORE-WEB)

  • By

  • Batista, Sávio

  • Damiani Monteiro, Mateus

  • Nahab, Fadi

  • Nascimento Martins, Pedro

  • Dolia, Jaydevsinh N

  • Yelam, Theja

  • Frankel, Michael

  • Oshinski, John

  • Mohamed, Ghada A

  • Allen, Jason

  • Haussen, Diogo C

  • April 9, 2026

  • 0 min

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Objective:

To develop a functional risk score (SCORE-WEB) for categorizing symptomatic and asymptomatic carotid webs (CaW) based on morphological characteristics.

Key Findings:
  • 126 CaW cases evaluated: 80 symptomatic and 46 asymptomatic.
  • Symptomatic lesions had more acute pre-web angles, larger pocket areas, and greater distal cervical internal carotid and bulb calibers.
  • SCORE-WEB achieved an AUC of 0.824 with an optimal cutoff of ≥7 points.
Interpretation:

Distinct morphological characteristics significantly influence the symptomatic status of CaW, and the SCORE-WEB shows promise for clinical application.

Limitations:
  • Results require validation in larger and prospective datasets.
  • The role of clinical variables in enhancing predictive performance needs further exploration.
Conclusion:

The SCORE-WEB, based on five anatomical parameters, demonstrates good discrimination for symptomatic CaW and may have practical utility in clinical settings.

Original Source(s)

Symptomatic stratification based on morphological features of carotid WEB (SCORE-WEB)

  • by Batista, Sávio , Damiani Monteiro, Mateus , Nahab, Fadi , Nascimento Martins, Pedro , Dolia, Jaydevsinh N, Yelam, Theja , Frankel, Michael , Oshinski, John , Mohamed, Ghada A, Allen, Jason , Haussen, Diogo C

  • April 9, 2026

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