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RT Journal Article
SR Electronic
T1 Vasa Vasorum: Another Cause of the Carotid String Sign
JF American Journal of Neuroradiology
JO Am. J. Neuroradiol.
FD American Society of Neuroradiology
SP 259
OP 262
VO 20
IS 2
A1 Martin, Monty A.
A1 Marotta, Tom R.
YR 1999
UL http://www.ajnr.org/content/20/2/259.abstract
AB 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.