{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T04:47:00Z","timestamp":1791002820833,"version":"4.1.0"},"reference-count":35,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2021,12,13]],"date-time":"2021-12-13T00:00:00Z","timestamp":1639353600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Yunnan Provincial Science and Technology Department & Kunming Medical University Applied Basic Research","award":["2019FE001\uff08-052\uff09)"],"award-info":[{"award-number":["2019FE001\uff08-052\uff09)"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Acta Radiol"],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Internal carotid artery dissection (ICAD) is the major cause of ischemic stroke in young to middle-aged people. Recognition of predisposing factors may facilitate in early individual risk prediction and expand treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To evaluate the association between a carotid web and dissection in patients with ICAD using vessel wall magnetic resonance imaging (VW-MRI).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Material and Methods<\/jats:title>\n                    <jats:p>A retrospective study was conducted of 223 patients who underwent VW-MRI. Of these patients, 58 patients with craniocervical artery dissection (CCAD) (33 ICAD and 25 vertebrobasilar artery dissection [VBAD]) were included. The control group (n\u2009=\u2009165) consisted of patients without arterial dissection who had undergone VW-MRI . The presence of a carotid web in the posterior aspect of carotid bulb was recorded. The distance between the carotid web and start of dissection in ICA was recorded.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The presence of a carotid web showed a significant difference between the ICAD, VBAD, and control groups (19 [57.6%] vs. 5 [20%] vs. 36 [21.8%], respectively; P\u2009&lt;\u20090.001). In multi-nominal analysis, the presence of a carotid web showed a significant difference between the ICAD and VBAD groups and the ICAD and control groups ( P\u2009&lt;\u20090.05), with odds ratios of 5.41 (95% confidence interval [CI]=1.634\u201317.973) and 4.81 (95% CI=2.176\u201310.651), respectively. Out of 19 ICAD patients with carotid web, 16 had occurrence of dissection in the C1 segment of the ICA with a mean distance of 1.91\u2009\u00b1\u20091.71 cm from the carotid web.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Presence of a carotid web was more frequent in patients with ICAD. The carotid web may be one of the predisposing factors for development of dissection in patients with ICAD.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/02841851211065144","type":"journal-article","created":{"date-parts":[[2021,12,13]],"date-time":"2021-12-13T07:02:18Z","timestamp":1639378938000},"page":"282-288","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":8,"title":["Assessment of association between the carotid web and dissection in spontaneous internal carotid artery dissection patients using vessel wall MRI"],"prefix":"10.1177","volume":"64","author":[{"given":"Srijana","family":"Shrestha","sequence":"first","affiliation":[{"name":"Department of Radiology, Kunming Medical University First Affiliated Hospital, Kunming, PR China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heyi","family":"Gu","sequence":"additional","affiliation":[{"name":"Department of Radiology, Kunming 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