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Intima-Media Thickening with Carotid Webs: A Case Report of a Potentially High-Risk Association
Corrado Tagliati1, Alessia Quaranta2, Marco Fogante3
1AST Ancona, Ospedale di Comunità Maria Montessori di Chiaravalle, Via Fratelli Rosselli 176, 60033 Chiaravalle, Italy.
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.
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