Semin intervent Radiol
DOI: 10.1055/s-0045-1813702
Review Article

Current Trends in Carotid Artery Revascularization

Authors

  • Emily B. Crawford

    1   Richard A. and Susan F. Smith Center for Outcomes Research in Cardiology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts
    2   Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts
  • Eric A. Secemsky

    1   Richard A. and Susan F. Smith Center for Outcomes Research in Cardiology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts
    3   Division of Cardiovascular Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts

Abstract

Carotid artery revascularization plays an important role in stroke prevention among patients with carotid stenosis. While carotid endarterectomy has been the mainstay of revascularization in those with moderate to severe stenosis, the evolution of carotid artery stenting and the recent expansion of Medicare coverage have impacted utilization trends and guideline recommendations. We aim to review currently available data on revascularization techniques, discuss important factors influencing treatment decisions, and explore future directions of carotid stenosis management.



Publication History

Article published online:
20 November 2025

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