How I do it: endarterectomy for carotid web
- PMID: 33871697
- DOI: 10.1007/s00701-021-04841-z
How I do it: endarterectomy for carotid web
Abstract
Background: 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.
Methods: We describe some of the technical nuances involved in successfully performing a carotid endarterectomy for resection of a carotid web.
Conclusion: 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.
Keywords: Carotid endarterectomy, Cryptogenic stroke; Carotid web.
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