Up-to-date perspective on the treatment of cervical carotid high-degree stenosis, DEBATE: treat or not to treat?

I don't know how to get the full presentation but this pretty much matches my thoughts on carotid stenting and endarterectomy.

 

Before you go down either route ask your doctor to GUARANTEE NO STROKE from either procedure. If it was me I would ask my doctor to see if the Circle of Willis was complete; if yes, then have the doctor close up the offending artery. My right carotid artery completely closed up for 14 years before collaterals grew around it. I have had no dizziness or cognitive issues with only 3 arteries feeding the Circle of Willis.

Problems to consider:

1.  Talk to your doctor about the dangers of stroke due to the endarterectomy procedure and why you would want to put inflexible metal stents in flexible arteries.

2. You might want to prevent stent placement complications per European Society of Cardiology

A - Minor complications

• Carotid artery spasm

• Sustained hypotension / bradycardia

• Carotid artery dissection

• Contrast encephalopathy (very rare)

• Minor embolic neurological events (TIAs)

B - Major complications

• Major embolic stroke

• Intracranial hemorrhage

• Hyperperfusion syndrome

• Carotid perforation (very rare)

• Acute stent thrombosis (very rare)

• Complications at the site of the vascular access

  The latest here:

Up-to-date perspective on the treatment of cervical carotid high-degree stenosis, DEBATE: treat or not to treat?