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A 30-year-old member asked:

Do stenting procedures for carotids also clean out the existing plaque?

5 doctor answers14 doctors weighed in
Dr. Charles Jost
Cardiology 36 years experience
No: Revascularization uses the pressure of the balloon (angioplasty) or stent to open the artery to allow unimpeded or improved blood flow. The plaque is not removed during the procedure. Aggressive medical treatment and lifestyle changes can reduce the risk of restenosis and slow plaque growth in some cases.
Dr. Alan Koslow
Vascular Surgery 43 years experience
No, compresses it: Stenting has 2-3x the risk of surgery of stroke TIA and death. Find good surgeon with 1-2% stroke rate and don't get stenting unless you are very high risk for surgery, have hade radiation to neck or in some cases redo.
Dr. Khashayar Salartash
Vascular Surgery 29 years experience
No: This is precisely why the recurrence rates for carotid disease after stenting are higher than for endarterectomy. The plaque is still there it has just been pushed into the wall of the artery.
Dr. Michael Korona
Interventional Radiology 33 years experience
No: Stent pushes plaque out of the way.
Dr. Joseph Gemmete
Interventional Radiology 28 years experience
No: Carotid stent placement does not clean out existing plaque. It pushes it against the vessel wall trapping it with the stent.

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Last updated Oct 3, 2016
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