A 36-year-old member asked:
Is stenting or carotid endarterectomy better?
6 doctor answers • 18 doctors weighed in
Vascular Surgery 47 years experience
Endarterectomy: I like to do surgical endarterectomy to remove the plaque rather leave it in the artery itself.
6k viewsAnswered >2 years ago
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.
6k viewsReviewed >2 years ago
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.
5.7k viewsAnswered >2 years ago
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.
5.4k viewsReviewed >2 years ago
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.
5.2k viewsReviewed >2 years ago
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.
2.1k viewsReviewed >2 years ago
Last updated Jan 28, 2019
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