Stent treatment for atherosclerotic carotid stenosis has become a potential alternative to endarterectomy. Randomised trials of patients with symptomatic carotid stenosis have shown that risk of periprocedural stroke is higher with stenting than with endarterectomy. The increase in short-term risk of stroke is mainly reported in patients older than 70 years; stenting seems to be as safe as surgery in younger patients. Although patient selection might reduce short-term risk, concerns remain that recurrent narrowing (restenosis) in the years after stent insertion might reduce the efficacy of stenting in the long term, particularly if stenting is offered to young patients.
Júlio Leonardo B. Pereira
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