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Introduction Cervical internal carotid artery (ICA) dissections are a significant cause of ischemic stroke, particularly in younger patients. While many cases are managed conservatively, endovascular treatment may be necessary for cases with hemodynamic compromise or embolic risk.Aim of Study This study aimed to assess the safety and efficacy of the CARESTO heal stent in treating cervical ICA dissections.Method Between August 2024 and May 2025, six patients (aged 40–80) with high-grade cervical ICA dissections were treated at our center. Indications for intervention included persistent flow limitation, progressive symptoms, or contraindications to anticoagulation. The CARESTO heal stent, a highly flexible, self-expanding nitinol stent with a bioactive surface coating, was implanted under dual antiplatelet therapy.Results Stent deployment was successful in all cases without periprocedural complications. Current Follow-up imaging showed vessel remodeling and maintained stent patency. No in-stent stenosis, thromboembolic events, or neurological deterioration occurred. All patients remained asymptomatic after the procedure.Conclusion The CARESTO heal stent demonstrated a favorable safety and efficacy profile in treating cervical ICA dissections. These promising initial results support the need for further investigation in larger, prospective clinical trials.Conflict of Interest No