How I do it: endarterectomy for carotid web

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 tec...

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Bibliographic Details
Published in:Acta neurochirurgica 2021-06, Vol.163 (6), p.1763-1766
Main Authors: Esparza, Rogelio, Schneider, Julia R., Grory, Brian Mac, Nossek, Erez
Format: Article
Language:English
Subjects:
Etiology
How I Do it - Vascular Neurosurgery - Other
Interventional Radiology
Medicine
Medicine & Public Health
Minimally Invasive Surgery
Neck
Neurology
Neuroradiology
Neurosurgery
Surgical Orthopedics
Thromboembolism
Vascular Neurosurgery – Other
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Summary: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.
ISSN:0001-6268
0942-0940
DOI:10.1007/s00701-021-04841-z