Semin intervent Radiol 2002; 19(4): 313-320
DOI: 10.1055/s-2002-36746
Copyright © 2002 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

Endarterectomy, Carotid Stenting, and Stroke Prevention

Steven J. Willing1 , Nilesh H. Patel2
  • 1Interventional Neuroradiology, Department of Radiology, Indiana University School of Medicine, Indianapolis, Indiana and
  • 2Section of Vascular and Interventional Radiology, Department of Radiology, Indiana University School of Medicine, Indianapolis, Indiana
Further Information

Publication History

Publication Date:
21 January 2003 (online)


Stroke is the third leading cause of death in North America and the leading cause of permanent disability. The most common cause is carotid atherosclerosis leading to cerebral ischemia or thromboembolism. Carotid endarterectomy has been shown to benefit a select group of patients by reducing the long-term stroke risk. Carotid angioplasty and stenting have recently emerged as a controversial alternative to endarterectomy. In this article, we explore the rationale behind the treatment of carotid stenosis, critically examine the evidence in support of endarterectomy, and review the current status of carotid angioplasty and stenting.


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