Carotid artery stenting for carotid web resistant to medical treatment

•Carotid web, a risk factor for ischemic stroke, is a nonatherosclerotic abnormality located in the posterior wall of the proximal internal carotid artery.•The optimal treatment strategy is still controversial for Carotid web.•In our presented case, cerebral infarction recurred despite medical treatment, but carotid artery stenting was successful.•Carotid revascularization with stenting might be a potential treatment option for the patient with carotid web resistant to medical treatment. Carotid web is a nonatherosclerotic shelf-like projection located in the posterior wall of the proximal internal carotid artery and is considered an atypical variant of fibromuscular dysplasia. It is recognized as an important cause of ischemic stroke, especially cryptogenic stroke. Antithrombotic treatment and carotid revascularization with endarterectomy or stenting are performed, but the optimal treatment strategy is still controversial. In our presented case, ischemic stroke recurred despite medical treatment with antiplatelet and anticoagulant therapies, but treatment with carotid artery stenting was successful. Carotid revascularization with stenting might be a potential treatment option for the patient with carotid web resistant to medical treatment.