Evolving landscape of carotid artery treatment: expert discussion

Dr. Peter Schneider and Dr. Alexandre Oliny, from the #pvi Social Media Team, discuss the evolving landscape of carotid artery surgery and stenting. They begin by examining advancements in carotid artery stenting (CAS) and open surgery, detailing the indications for both symptomatic and asymptomatic carotid arteries. The discussion includes a comparison of techniques such as carotid endarterectomy (CEA), transfemoral stenting, TCAR, and embolic protection devices, supported by relevant studies, in both Europe and the USA. They also explore recent technological innovations in stroke prevention, highlighting covered stents and flow reversal, as well as developments in double-layer mesh stents, and then drug-coated balloons for managing in-stent restenosis. The discussion concludes with insights into plaque assessment and its indications.