Carotid angioplasty and stenting may be an appropriate stroke treatment or stroke prevention option if:
- You have a carotid artery with a 70 percent blockage or more, especially if you've had a stroke or stroke symptoms, and you aren't in good enough health to undergo surgery — for example, if you have severe heart or lung disease or had radiation for neck tumors
- You've already had a carotid endarterectomy and are experiencing new narrowing after surgery (restenosis)
- The location of the narrowing (stenosis) is difficult to access with endarterectomy
In some cases, traditional carotid surgery (carotid endarterectomy) may be advised to remove the buildup of plaques (fatty material) that is narrowing the artery. In other cases, angioplasty and stenting may be a better option.
Jun. 07, 2014
- Cameron JL, et al. Current Surgical Therapy. 11th ed. Philadelphia, Pa.: Saunders Elsevier; 2014:823.
- Carotid artery disease. National Heart, Lung, and Blood Institute. http://www.nhlbi.nih.gov/health/dci/Diseases/catd/catd_all.html. Accessed April 10, 2014.
- Chaikof EL, et al. Atlas of Vascular Surgery and Endovascular Therapy. Philadelphia, Pa.: Saunders Elsevier; 2014:86.
- Mohler ER, et al. Management of symptomatic carotid atherosclerotic disease. http://www.uptodate.com/home. Accessed April 10, 2014.
- Angioplasty and vascular stenting. Radiological Society of North America. http://www.radiologyinfo.org/en/info.cfm?pg=angioplasty. Accessed April 10, 2014.
- Mantese VA, et al. The carotid revascularization endarterectomy versus stenting trial (CREST): Stenting versus carotid endarterectomy for carotid disease. Stroke. 2010;41:S31.
- Golden AK. Decision Support System. Mayo Clinic, Rochester, Minn. March 20, 2014.
- Cloft H (expert opinion). Mayo Clinic, Rochester, Minn. April 16, 2014.