How I do it: endarterectomy for carotid web.

Esparza, Rogelio; Schneider, Julia R; Mac Grory, Brian; Nossek, Erez · Acta Neurochir (Wien) · 2021

other · Level V

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Abstract

The carotid web is an important and under recognized etiology for recurrent cryptogenic strokes. A management option for a symptomatic carotid web is a carotid endarterectomy (CEA) with surgical microdissection and removal of the intimal luminal defect. We describe some of the technical nuances involved in successfully performing a carotid endarterectomy for resection of a carotid web. Utilizing a familiar approach to an understudied pathology, this procedure can be safely performed and provides the patient with lasting protection against recurrent infarcts through removal of the thromboembolic nidus.

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