Carotid Artery Stenting vs Carotid Endarterectomy

Abstract

Carotid artery stenting (CAS) has emerged as an alternative to carotid endarterectomy (CEA) for the treatment of carotid artery occlusive disease¹ and is endorsed by the American Heart Association/American Stroke Association guidelines as a reasonable strategy when performed by operators with established periprocedural morbidity and mortality of 4% to 6% (class IIa).²The European Society of Vascular Surgery recommends CAS instead of CEA in participants at high risk for cardiovascular disease if it is conducted in high-volume centers with documented low perioperative stroke and death rates.³