14 doctors weighed in:

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

14 doctors weighed in
Dr. Alan Koslow
Surgery - Vascular
5 doctors agree

In brief: 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.

In brief: 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. Alan Koslow
Dr. Alan Koslow
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Dr. Joseph Gemmete
Radiology - Interventional
3 doctors agree

In brief: No

Carotid stent placement does not clean out existing plaque.
It pushes it against the vessel wall trapping it with the stent.

In brief: No

Carotid stent placement does not clean out existing plaque.
It pushes it against the vessel wall trapping it with the stent.
Dr. Joseph Gemmete
Dr. Joseph Gemmete
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Dr. Charles Jost
Internal Medicine - Cardiology
3 doctors agree

In brief: 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.

In brief: 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. Charles Jost
Dr. Charles Jost
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Dr. Michael Korona
Radiology - Interventional

In brief: No

Stent pushes plaque out of the way.

In brief: No

Stent pushes plaque out of the way.
Dr. Michael Korona
Dr. Michael Korona
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Dr. Khashayar Salartash
Surgery - Vascular

In brief: 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.

In brief: 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. Khashayar Salartash
Dr. Khashayar Salartash
Thank
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