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Symptomatic carotid webs require aggressive intervention:

Brinster, Clayton J. ; O'Leary, James ; Hayson, Aaron...
European Journal of Vascular and Endovascular Surgery.  67 (2024)  1 - p. e8-e9 , 2024
Link: https://doi.org/10.1016/j.ejvs.2023.12.014