What is the consensus on the diagnosis and management of carotid web?
The first international consensus on the diagnosis and management of carotid web was published by Gornik et al., in 2019. According to the consensus, carotid web is defined as a focal narrowing of the lumen of the internal carotid artery caused by intimal hyperplasia, medial fibrosis, or a combination of the two. It is typically treated with endovascular stenting, but can be treated surgically with balloon angioplasty in certain cases. The consensus recommends a multidisciplinary approach for diagnosis and management, which should include imaging, neurology, vascular surgery, and interventional radiology. Additionally, anti-platelet and anti-hypertension medication should be used in patients with carotid web, according to results from the United States Registry for Fibromuscular Dysplasia.  