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  • Vasa vasorum: another cause of the carotid string sign
  • Martin MA; Marotta TR
  • AJNR Am J Neuroradiol 1999[Feb]; 20 (2): 259-62
  • BACKGROUND AND PURPOSE: Our purpose was to describe a variant of the carotid string sign that may be associated with a completely occluded vessel and to consider possible pathophysiological mechanisms for this observation. METHODS: Carotid angiography was performed in three patients with suspected carotid stenosis and in a fourth with carotid dissection. Surgery was performed in one of the patients with carotid stenosis. RESULTS: On all angiograms, instead of a single linear or curvilinear contrast "string," either single or multiple serpiginous channels were seen. In one case, such a channel was seen emanating from below the origin of an occluded internal carotid stump, reconstituting the distal portion of the vessel. Surgery revealed a completely occluded lumen with a small intramural vessel bypassing the obstruction. CONCLUSION: We propose that these channels are either atherosclerotically induced neovessels connecting bridging vasa vasorum or recanalized luminal thrombus. We review the literature associated with this subject.
  • |Aged[MESH]
  • |Aneurysm/diagnostic imaging[MESH]
  • |Carotid Arteries/*diagnostic imaging[MESH]
  • |Carotid Artery Diseases/diagnostic imaging[MESH]
  • |Carotid Stenosis/*diagnostic imaging[MESH]
  • |Cerebral Angiography[MESH]
  • |Diagnosis, Differential[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Vasa Vasorum/*diagnostic imaging[MESH]

  • *{{pmid10094348}}
    *<b>[ Vasa vasorum: another cause of the carotid string sign ]</b> AJNR Am J Neuroradiol 1999; 20(2) ; 259-62 Martin MA; Marotta TR


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    AJNR Am J Neuroradiol

    259 2.20 1999