Cerebrovascular disease is the third leading cause of death, the second leading cause of dementia, and the most common cause of disability worldwide. Carotid disease is responsible for approximately 70% of ischemic stroke cases, but it is the only cause that can be addressed through revascularization. The primary goals of carotid reconstruction—whether through endarterectomy, bypass, or stenting—are to prevent ischemic stroke, alleviate neurological symptoms and complaints, and potentially prevent vascular dementia, cognitive disorders, and senility.