{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T08:26:53Z","timestamp":1791880013025,"version":"4.3.4"},"reference-count":13,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\nBackground: <\/jats:title>\nA carotid web is a shelf-like structure on the posterior wall of the origin of the internal carotid artery, and it is believed to cause cerebral infarction due to thrombus formed by turbulent flow with stagnation of blood flow. Recently, it has been suggested that recurrent cerebral infarction cannot be prevented in patients with a symptomatic carotid web by conventional medical management alone. However, there is still no consensus on the treatment of carotid webs. Carotid artery stenting (CAS) with the CASPER stent (Microvention, Terumo, Tustin, CA, USA) was performed in six consecutive patients with symptomatic carotid webs, and the results are reported along with a review of the literature.<\/jats:p>\n<\/jats:sec>\n\nMethods: <\/jats:title>\nSix consecutive patients with a diagnosis of internal carotid artery stenosis due to a carotid web on magnetic resonance imaging and digital subtraction angiography (DSA) were included in this study. All patients underwent dual antiplatelet therapy approximately 10 days before surgery and after 6 months, and then, a CASPER stent was implanted under general anesthesia. All patients were evaluated postoperatively by DSA 6 months after treatment.<\/jats:p>\n<\/jats:sec>\n\nResults: <\/jats:title>\nIn all patients, no in-stent stenosis was seen 6 months after the operation, and no symptomatic cerebral infarction occurred within 1 year after the procedure.<\/jats:p>\n<\/jats:sec>\n\nConclusions: <\/jats:title>\nCASPER stent implantation may be effective for treating carotid webs.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_525_2023","type":"journal-article","created":{"date-parts":[[2023,9,15]],"date-time":"2023-09-15T11:31:05Z","timestamp":1694777465000},"page":"339","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["The case of treatment for carotid web \u2013 Double-layer micromesh stent implantation in our hospital"],"prefix":"10.25259","volume":"14","author":[{"given":"Kaisei","family":"Kamatani","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Fukuoka Neurosurgical Hospital, Fukuoka, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shinichiro","family":"Yoshida","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Fukuoka Neurosurgical Hospital, Fukuoka, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Noriaki","family":"Tashiro","sequence":"additional","affiliation":[{"name":"Department of Cerebrovascular Medicine, Fukuoka Neurosurgical Hospital, Fukuoka, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoshiya","family":"Hashiguchi","sequence":"additional","affiliation":[{"name":"Department of Cerebrovascular Medicine, Fukuoka Neurosurgical Hospital, Fukuoka, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kousuke","family":"Takigawa","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Fukuoka Neurosurgical Hospital, Fukuoka, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masahiro","family":"Yasaka","sequence":"additional","affiliation":[{"name":"Department of Cerebrovascular Medicine, Fukuoka Neurosurgical Hospital, Fukuoka, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroshi","family":"Aikawa","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Fukuoka Neurosurgical Hospital, Fukuoka, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoshinori","family":"Go","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Fukuoka Neurosurgical Hospital, Fukuoka, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kiyoshi","family":"Kazekawa","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Fukuoka Neurosurgical Hospital, Fukuoka, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10894","published-online":{"date-parts":[[2023,9,15]]},"reference":[{"key":"10.25259\/SNI_525_2023\/ref-1","doi-asserted-by":"crossref","first-page":"106007","DOI":"10.1016\/j.jstrokecerebrovasdis.2021.106007","article-title":"Efficacy of carotid artery stenting performed under general anesthesia with somatosensory evoked potential monitoring","volume":"30","author":"Gekka","year":"2021","journal-title":"J Stroke Cerebrovasc Dis"},{"key":"10.25259\/SNI_525_2023\/ref-2","doi-asserted-by":"crossref","first-page":"826","DOI":"10.1001\/jamaneurol.2021.1101","article-title":"Assessment of recurrent stroke risk in patients with a carotid web","volume":"78","author":"Guglielmi","year":"2021","journal-title":"JAMA Neurol"},{"key":"10.25259\/SNI_525_2023\/ref-3","doi-asserted-by":"crossref","first-page":"413","DOI":"10.1159\/000489710","article-title":"Multicenter experience with stenting for symptomatic carotid web","volume":"7","author":"Haussen","year":"2018","journal-title":"Interv Neurol"},{"key":"10.25259\/SNI_525_2023\/ref-4","doi-asserted-by":"crossref","first-page":"524","DOI":"10.1136\/neurintsurg-2020-016250","article-title":"Clinical trial of carotid artery stenting using dual-layer CASPER stent for carotid endarterectomy in patients at high and normal risk in the Japanese population","volume":"13","author":"Imamura","year":"2021","journal-title":"J Neurointerv Surg"},{"key":"10.25259\/SNI_525_2023\/ref-5","first-page":"909","article-title":"The microscopic transitional zone between elastic and muscular arteries","volume":"97","author":"Janzen","year":"2004","journal-title":"Arch Mal Coeur Vaiss"},{"key":"10.25259\/SNI_525_2023\/ref-6","first-page":"659","article-title":"Reconsideration of carotid web and the therapeutic strategy","volume":"47","author":"Kawahara","year":"2019","journal-title":"No Shinkei Geka"},{"key":"10.25259\/SNI_525_2023\/ref-7","article-title":"Symptomatic carotid web in a female patient","volume":"8","author":"Krasteva","year":"2020","journal-title":"SAGE Open Med Case Rep"},{"key":"10.25259\/SNI_525_2023\/ref-8","doi-asserted-by":"crossref","first-page":"2185","DOI":"10.1007\/s00415-013-7045-5","article-title":"Diaphragm of the internal carotid artery: A novel cause of pulsatile tinnitus","volume":"260","author":"Lenck","year":"2013","journal-title":"J Neurol"},{"key":"10.25259\/SNI_525_2023\/ref-9","doi-asserted-by":"crossref","first-page":"1283","DOI":"10.1136\/jnnp-2020-323938","article-title":"Carotid web: An occult mechanism of embolic stroke","volume":"91","author":"Mac Grory","year":"2020","journal-title":"J Neurol Neurosurg Psychiatry"},{"key":"10.25259\/SNI_525_2023\/ref-10","first-page":"427","article-title":"Hemodynamic stability under general anesthesia in carotid artery stenting","volume":"23","author":"Nagata","year":"2005","journal-title":"Radiat Med"},{"key":"10.25259\/SNI_525_2023\/ref-11","doi-asserted-by":"crossref","first-page":"321","DOI":"10.1016\/j.wneu.2017.05.171","article-title":"Potential of new-generation double-layer micromesh stent for carotid artery stenting in patients with unstable plaque: A preliminary result using OFDI analysis","volume":"105","author":"Yamada","year":"2017","journal-title":"World Neurosurg"},{"key":"10.25259\/SNI_525_2023\/ref-12","doi-asserted-by":"crossref","first-page":"1370","DOI":"10.3171\/2020.8.JNS201727","article-title":"Prevalence and site of predilection of carotid webs focusing on symptomatic and asymptomatic Japanese patients","volume":"135","author":"Yang","year":"2021","journal-title":"J Neurosurg"},{"key":"10.25259\/SNI_525_2023\/ref-13","doi-asserted-by":"crossref","first-page":"2872","DOI":"10.1161\/STROKEAHA.118.021907","article-title":"A systematic literature review of patients with carotid web and acute ischemic 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