Literature Review

Carotid web (intimal fibromuscular dysplasia) has high stroke recurrence risk and is amenable to stenting

Carotid WEB is a linear filling defect in the posterior aspect of the carotid bulb and seems to represent an intimal variant of fibromuscular dysplasia. The prevalence of carotid web in patients with cryptogenic stroke during the period of analysis of this series was identified in 17%. A longer follow-up could identify a higher prevalence of this entity. The paper reports the clinical outcomes of a series of 24 patients submitted to carotid stenting due to carotid web related strokes.

Main results

All patients were symptomatic due to embolic stroke or TIAs and half of them were submitted to mechanical thrombectomy before the stenting.