To evaluate the ultrasonographic imaging features of carotid web (CW) and analyze the association between CW characteristics and cerebral ischemic stroke (CIS), highlighting its clinical significance.
Key Findings:
The incidence of CW in younger patients with cryptogenic ischemic stroke was 21.2%, indicating a need for awareness in this demographic.
Recurrent ischemic stroke rates in patients with CW remained high at 24%-71.4% despite antiplatelet therapy, suggesting a need for alternative treatment strategies.
Ultrasonography showed a linear band of tissue in the carotid lumen, aiding in CW diagnosis, which could improve early detection.
Interpretation:
Ultrasonography can be a useful initial screening tool for CW, but its sensitivity and specificity need improvement to reduce misdiagnosis, which could significantly impact patient outcomes.
Limitations:
Retrospective design may introduce selection bias and confounding factors.
Limited sample size may affect the generalizability of findings.
Ultrasonography has a known low sensitivity for CW detection, which could lead to missed diagnoses.
Conclusion:
Ultrasonographic evaluation of carotid web shows promise in identifying CW and its association with ischemic stroke, but further studies are needed to enhance diagnostic accuracy and address the limitations identified.
