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A 36-year-old member asked:

Is stenting or carotid endarterectomy better?

6 doctor answers18 doctors weighed in
Dr. Andrew Ahn
Vascular Surgery 47 years experience
Endarterectomy: I like to do surgical endarterectomy to remove the plaque rather leave it in the artery itself.
Dr. Michael Korona
Interventional Radiology 33 years experience
Experience : Of the operator of major importance. I have been doing carotid stents since 1999 and have a very low stroke rate that equals or surpasses endarterectomy at my hospitals. Ask your doctor.
Dr. Steven Busuttil
Vascular Surgery 33 years experience
International studies mostly show a higher risk for stroke with Carotid stenting compared to endarterectomy
Dec 16, 2012
Dr. Timothy Wu
Dr. Timothy Wu commented
Vascular Surgery 18 years experience
Be that as it may, your personal experience is not generalized to all practitioners. As Dr. Busuttil pointed out carotid endarterectomy continues to be the standard of care in patients with carotid disease, with stenting reserved for a clear minority of cases. Your assertion that stenting is superior is irresponsible and not, even in the most liberal of interpretations, supported by the data.
Jul 1, 2015
Dr. Shadi Abu Halimah
Vascular Surgery 21 years experience
Depends: The gold standard is carotid endarterectomy CEA but mutiple studies shows that stenting is not inferior to cea. Mutiple factors plays role in outcome including symptomatic patients where CEA is better , age of the patient where CEA is better in 80 years and older. People with previous CEA , people with high risk disease like severe coronary artery disease or bad lungs better have stenting.
Dr. Peter H'doubler
Vascular Surgery 40 years experience
Endartectomy better: Carotid endartectomy (cea) is a scientifically proven, remarkably effective procedure which prevents stroke in patients with symptomatic carotid stenosis or high grade asymptomatic stenosis. It is a very durable and long lasting procedure and has a very high success rate when performed by an experienced vascular surgeon. Stenting is only appropriate in certain, special situations.
Dr. Ernest Zichal
General Surgery 20 years experience
Typically CEA: I am a vascular surgeon and preform both procedures. Typically a carotid endarterectomy is preferred over carotid stenting unless you have had a previous carotid endarectomy, radiation therapy to the neck for cancer, a high burfication of the internal carotid artery making the surgery difficult or the patients overall health status making them to unhealthy to undergo an operation.
Dr. Christopher White
Cardiology 43 years experience
I'm a cardiologist and would tell you that the current guidelines suggest that surgery and stent results are very similar .
Mar 17, 2013
Dr. Christopher White
Cardiology 43 years experience
I'm a cardiologist and would tell you that the current guidelines suggest that surgery and stent results are very similar .
Mar 17, 2013
Dr. Ernest Zichal
General Surgery 20 years experience
Provided original answer
Carotid stenting tends to have higher risk of stroke versus CEA. Carotid endarterectomy tends to have more heart attacks.
Mar 18, 2013
Dr. Andris Kazmers
Vascular Surgery 45 years experience
Carotid intervention: CEA has lower stroke risk than stent, stent has lower risk of MI and cranial nerve injury. Each suitable at times. Best to go to provider that can do either. CEA generally better for standard risk patients, stent generally best if patient has had neck radiation, tracheostomy, or prior CEA. Can get biased view if provider can only do one or the other. Go to someone that can advise on risk/benefit.

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Last updated Jan 28, 2019

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