We describe a case of an asymptomatic 70-year-old female patient on whom a carotid ultrasound examination was performed that showed intima-media thickening and a 4 mm long carotid web with a 50% web-to-bulb ratio. Spectral Doppler waveform demonstrated a turbulent flow pattern and a peak systolic velocity increase of 100% (velocity ratio = 2) when compared with the common carotid artery. Therefore, the patient seemed to be at risk of stroke, and antiaggregant treatment was suggested.

Intima-Media Thickening with Carotid Webs: A Case Report of a Potentially High-Risk Association / Tagliati, Corrado; Quaranta, Alessia; Fogante, Marco; Ventura, Claudio; Lamja, Stefania; Matarrese, Alfonso Alberto; Palumbo, Pierpaolo; Carbone, Iacopo; Di Cesare, Ernesto; Polonara, Gabriele; Schicchi, Nicolò. - In: DIAGNOSTICS. - ISSN 2075-4418. - 15:21(2025). [10.3390/diagnostics15212756]

Intima-Media Thickening with Carotid Webs: A Case Report of a Potentially High-Risk Association

Tagliati, Corrado
;
Quaranta, Alessia;Fogante, Marco;Ventura, Claudio;Polonara, Gabriele;Schicchi, Nicolò
2025-01-01

Abstract

We describe a case of an asymptomatic 70-year-old female patient on whom a carotid ultrasound examination was performed that showed intima-media thickening and a 4 mm long carotid web with a 50% web-to-bulb ratio. Spectral Doppler waveform demonstrated a turbulent flow pattern and a peak systolic velocity increase of 100% (velocity ratio = 2) when compared with the common carotid artery. Therefore, the patient seemed to be at risk of stroke, and antiaggregant treatment was suggested.
2025
Doppler ultrasound; Spectral Doppler waveform; carotid web; carotid web length; high risk; intima–media thickening; intima–media thickness; stroke; turbulent flow; web-to-bulb ratio
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11566/350534
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