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While antiplatelet therapy or anticoagulation used to be the cornerstone of management, medical therapy alone has been found to be insufficient for stroke prevention in symptomatic patients. Definitive intervention includes carotid artery stenting or carotid endarterectomy; both have demonstrated excellent safety and efficacy. Risk stratification for symptomatic and asymptomatic carotid webs remains an area of active research, with emerging evidence suggesting that specific anatomic features, termed the carotid web angioarchitecture, may help predict stroke risk. Further studies are needed to determine the role of preventative intervention. A deeper understanding of carotid web pathogenesis, natural history, and hemodynamic impact is critical for guiding clinical decision-making.<\/jats:p>","DOI":"10.1055\/a-2741-2575","type":"journal-article","created":{"date-parts":[[2025,11,27]],"date-time":"2025-11-27T00:19:31Z","timestamp":1764202771000},"page":"391-404","source":"Crossref","is-referenced-by-count":3,"title":["Carotid Webs"],"prefix":"10.1055","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-0369-9704","authenticated-orcid":false,"given":"Eric A.","family":"Grin","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, NYU Langone Health, New York, New York, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel D.","family":"Wiggan","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, NYU Langone Health, New York, New York, United 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