• Rafael Martinez-Perez, Stephen P Lownie, Sachin K Pandey, and Mel R Boulton.
• Department of Clinical Neurological Sciences, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada. Electronic address: rafa11safin@hotmail.com.
• World Neurosurg. 2017 Feb 1; 98: 879.e9-879.e11.

BackgroundThe carotid web is an intraluminal shelf-like projection arising from the posterior wall of the carotid bifurcation and an uncommon etiology of ischemic strokes. We describe the feasibility of endovascular stent placement to treat this condition.Case ReportA 47-year-old woman presented with a sudden occlusion of the right middle cerebral artery. Computed tomography angiography and digital subtraction angiography showed a carotid web in the ipsilateral carotid bifurcation. Treatment included mechanical thrombectomy for the middle cerebral artery occlusion and carotid stent placement to prevent further ischemic episodes from the carotid web. At the 6-month follow-up, good apposition of the stent against the artery wall was noted, and the patient was free of neurologic symptoms.ConclusionsCarotid artery stent placement is a feasible option in the management of carotid webs.Copyright © 2016 Elsevier Inc. All rights reserved.

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