BACKGROUND AND PURPOSE Carotid webs are an increasingly recognized cause of acute is-chemic stroke, particularly in younger adults. The optimal medical and surgical strategies for managing these lesions have not been well established. We report a single-center case series of carotid stenting for treatment of symptomatic carotid webs. MATERIALS AND METHODS Consecutive patients undergoing stent placement for treatment of symptomatic carotid webs were included. Carotid webs were defined as a thin intraluminal filling defect along the posterior wall of the carotid bulb just beyond the carotid bifurcation on CTA. Data were collected on demographic characteristics, antiplatelet management, clinical presentation, imaging findings, treatment characteristics, complications, and stroke recurrence rates. Descriptive statistics are reported. RESULTS A total of 4 patients were treated. Their mean age was 44 years (range 30-50). Three patients were female and 1 was male. All patients were symptomatic presenting with ipsilateral transient ischemic attacks or stroke. Patients were placed on dual antiplatelet therapy with ticagrelor and aspirin prior to the procedure. There were no ischemic or hemorrhagic complications. Three patients had postoperative bradycardia, 1 of whom required atropine immediately following stenting. No patients had recurrent ischemic events. CONCLUSIONS Stent placement for treatment of carotid webs can be performed safely. Further studies are needed to confirm our findings.

中文翻译：

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颈动脉支架置入治疗有症状的颈动脉网：单中心病例系列。

背景和目的 颈动脉蹼是急性缺血性卒中的一个日益公认的病因，尤其是在年轻人中。治疗这些病变的最佳内科和外科手术策略尚未完全确定。我们报告了颈动脉支架置入治疗症状性颈动脉蹼的单中心病例系列。材料和方法 连续患者接受支架置入以治疗有症状的颈动脉蹼。颈动脉网被定义为 CTA 上颈动脉分叉处沿颈动脉球后壁的薄腔内充盈缺损。收集有关人口统计学特征、抗血小板治疗、临床表现、影像学表现、治疗特征、并发症和中风复发率的数据。报告描述性统计数据。结果共治疗4例患者。他们的平均年龄为 44 岁（范围 30-50）。3例患者为女性，1例为男性。所有患者都有同侧短暂性脑缺血发作或中风的症状。患者在手术前接受替格瑞洛和阿司匹林双重抗血小板治疗。没有缺血性或出血性并发症。3 名患者出现术后心动过缓，其中 1 名患者在植入支架后立即需要阿托品。没有患者出现复发性缺血事件。结论 支架置入治疗颈动脉蹼是安全的。需要进一步的研究来证实我们的发现。所有患者都有同侧短暂性脑缺血发作或中风的症状。患者在手术前接受替格瑞洛和阿司匹林双重抗血小板治疗。没有缺血性或出血性并发症。3 名患者出现术后心动过缓，其中 1 名患者在植入支架后立即需要阿托品。没有患者出现复发性缺血事件。结论 支架置入治疗颈动脉蹼是安全的。需要进一步的研究来证实我们的发现。所有患者都有同侧短暂性脑缺血发作或中风的症状。患者在手术前接受替格瑞洛和阿司匹林双重抗血小板治疗。没有缺血性或出血性并发症。3 名患者出现术后心动过缓，其中 1 名患者在植入支架后立即需要阿托品。没有患者出现复发性缺血事件。结论 支架置入治疗颈动脉蹼是安全的。需要进一步的研究来证实我们的发现。结论 支架置入治疗颈动脉蹼是安全的。需要进一步的研究来证实我们的发现。结论 支架置入治疗颈动脉蹼是安全的。需要进一步的研究来证实我们的发现。