Rogelio Esparza1, Julia R Schneider1, Brian Mac Grory2, Erez Nossek3. 1. Department of Neurosurgery, NYU Langone Health, 550 1st Ave, New York, NY, 10016, USA. 2. Department of Neurology, Duke University School of Medicine, Durham, NC, USA. 3. Department of Neurosurgery, NYU Langone Health, 550 1st Ave, New York, NY, 10016, USA. erez.nossek@nyulangone.org.
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.
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.
Entities:
Keywords:
Carotid endarterectomy, Cryptogenic stroke; Carotid web
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