Carotid Artery Stenting: Studies, Indications, and Pre-interventional Workup

Stroke represents a significant burden to the healthcare system. Extracranial carotid artery disease is a common etiology of stroke that can be treated with carotid artery stenting, either transfemoral (TF-CAS) or transcarotid (TCAR). Indications for carotid artery stenting have changed as the technology continues to evolve. This chapter will outline the most contemporary and integral studies that inform the modern carotid proceduralist, as well as the indications for the intervention. Finally, it will highlight key preprocedural considerations with regard to imaging, approach, and technique.