In individuals younger than 55 years of age, the carotid web (CW) is an underappreciated cause of cryptogenic, embolic stroke. There is currently limited research on the appropriate treatment techniques for these patients to lower the risk of recurrent stroke. CEA is a safe and effective treatment for symptomatic carotid webs, and it should be explored as an alternative to CAS in this patient group.All patients with CW who presented to the authors’ institution were included in a retrospective, observational cohort analysis. Between January 2019 and February 2020, all patients who were screened received carotid artery stenting (CAS) or carotid endarterectomy (CEA) after presenting with ischemic stroke.

Between January 2019 and February 2020, 45 patients with symptomatic carotid lesions were treated at the authors’ facility. All of the patients had their CWs resected with CEA. At the most recent follow-up (mean 6.1 4 months), there were no persistent procedural problems and no patients had a stroke recurrence following intervention. One of the patients had a slight tongue distortion, which was most likely due to stress.Patients who underwent CEA, a treatment for symptomatic carotid webs CW, and those who were not diagnosed with CW were compared in terms of clinical results. CEA was found to be a safe and effective treatment for CW, and it should be considered a potential option to CAS in this patient group.  

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Reference Link – https://thejns.org/view/journals/j-neurosurg/135/1/article-p1.xml