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A Rat Carotid Artery Pressure-Controlled Segmental Balloon Injury with Periadventitial Therapeutic Application

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How I do it: endarterectomy for carotid web.

Rogelio Esparza¹, Julia R Schneider¹, Brian Mac Grory²

¹Department of Neurosurgery, NYU Langone Health, 550 1st Ave, New York, NY, 10016, USA.

Acta Neurochirurgica

|April 19, 2021

Summary

Carotid web resection via carotid endarterectomy (CEA) offers a safe and effective treatment for preventing recurrent strokes. This surgical approach removes the source of emboli, providing lasting protection against future infarcts.

Keywords:

Carotid endarterectomy, Cryptogenic stroke Carotid web

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Vascular Balloon Injury and Intraluminal Administration in Rat Carotid Artery

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Published on: December 23, 2014

Area of Science:

Vascular Surgery
Neurology
Cerebrovascular Disease

Background:

Carotid web is an under-recognized cause of recurrent cryptogenic strokes.
Symptomatic carotid webs require effective management to prevent further neurological events.

Purpose of the Study:

To describe the technical nuances of carotid endarterectomy (CEA) for carotid web resection.
To highlight CEA as a viable management option for symptomatic carotid webs.

Main Methods:

Surgical microdissection and removal of the intimal luminal defect during CEA.
Utilizing a standard surgical approach for an understudied pathology.

Main Results:

The procedure can be safely performed with attention to technical details.
Successful resection of the carotid web addresses the thromboembolic source.

Conclusions:

Carotid endarterectomy is a safe and effective treatment for symptomatic carotid webs.
This procedure offers lasting protection against recurrent strokes by removing the nidus of embolism.