Key result
Review outlines current indications, techniques, and controversies comparing carotid endarterectomy to endovascular stenting.
Why the study?
With the emergence of carotid artery stenting, evidence-based counseling is needed to guide optimal management strategy rather than biased preference toward minimally invasive endovascular procedures.
What are the current indications, technical modifications, and controversies related to carotid endarterectomy compared to endovascular procedures?
What are the current indications, technical modifications, and controversies related to carotid endarterectomy compared to endovascular procedures?
This narrative review provides an overview of current indications, technical modifications, and controversies regarding carotid endarterectomy in the era of endovascular stenting.
Carotid endarterectomy (CEA) has been historically the gold standard for carotid artery stenosis. With the advent of carotid artery stenting, the options are increased and increasingly the surgeon needs to decide on the optimal management strategy. Evidence-based counseling to patients is necessary for favorable outcomes rather than biased preference toward minimally invasive endovascular procedures. In this article, we provide an overview of current indications and the role of technical modifications of CEA. We also discussed controversies related to CEA based on recent literature.
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Srinivas et al. (2025) conducted a review in Carotid artery stenosis. Carotid endarterectomy vs. Carotid artery stenting was evaluated. This narrative review provides an overview of current indications, technical modifications, and controversies regarding carotid endarterectomy versus endovascular procedures for carotid artery stenosis.
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