Carotid artery disease: AngioCT features

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Submitted: August 16, 2019
Published: Aug 26, 2019
DOI: 10.29328/journal.ascr.1001035
Keywords:
Carotid artery, Dissection, Mural hematoma, Atherosclerosis, AngioCT, Stenosist

Main Article Content

Joana Ferreira
Hospital da Senhora da Oliveira, Rua dos Cutileiros 114 Creixomil, Guimarães, Portugal
Olinda Miranda
1Hospital da Senhora da Oliveira, Rua dos Cutileiros 114 Creixomil, Guimarães, Portugal
Alexandre Lima Carneiro
Centro Hospitalar de Trás-os-Montes e Alto Douro, Rua dos Lagoeiros, Portugal
Sandrina Braga
Hospital da Senhora da Oliveira, Rua dos Cutileiros 114 Creixomil, Guimarães, Portugal
João Correia Simões
Hospital da Senhora da Oliveira, Rua dos Cutileiros 114 Creixomil, Guimarães, Portugal
Celso Carrilho
Hospital da Senhora da Oliveira, Rua dos Cutileiros 114 Creixomil, Guimarães, Portugal
Amílcar Mesquita
1Hospital da Senhora da Oliveira, Rua dos Cutileiros 114 Creixomil, Guimarães, Portugal
Jorge Cotter
1Hospital da Senhora da Oliveira, Rua dos Cutileiros 114 Creixomil, Guimarães, Portugal

Abstract

The objective of this paper is to emphasis the AngioCT features of carotid dissection/mural hematoma. The image show an internal carotid artery with narrowly eccentric lumen surrounded by a crescent-shaped hypodense mural thickening, with a visibly enhancing vessel wall. The carotid hematoma is a hypodense mural thickening that leads to expansion of the arterial wall, compression of the lumen and release of thrombogenic factors by intimal damage. Hematoma between the intima and media causes vessel expansion diameter and a narrow eccentric lumen. Peripheral hyper density is due to the contrast enhancement of the vasa vasorum in the adventitial layer. The physician should be familiar with the imagiologic features of carotid arterial disease, due to the diferent treatment options.

Article Details

Ferreira, J., Miranda, O., Carneiro, A. L., Braga, S., Simões, J. C., Carrilho, C., … Cotter, J. (2019). Carotid artery disease: AngioCT features. Archives of Surgery and Clinical Research, 3(2), 059–060. https://doi.org/10.29328/journal.ascr.1001035
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Copyright (c) 2019 Ferreira J, et al.

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