Carotid Endarterectomy vs. Stenting: Which is the Right Choice?
Understanding Carotid Artery Blockage
The carotid arteries supply oxygen-rich blood to the brain. When plaque builds up, it can cause narrowing (stenosis), increasing the risk of stroke. To restore blood flow, doctors recommend either Carotid Endarterectomy (CEA) or Carotid Artery Stenting (CAS).
Carotid Endarterectomy (CEA): A Surgical Approach
Carotid Endarterectomy is a surgical procedure where a small incision is made in the neck, and the plaque is directly removed from the artery.
Best suited for:
- Patients with severe carotid artery stenosis (>70%)
- Those who can tolerate surgery well
- Younger patients with low surgical risk
Advantages:
- Long-term effectiveness in reducing stroke risk
- Lower chances of needing retreatment
Risks:
- Requires anesthesia
- Possible complications like nerve injury or infection
Carotid Artery Stenting (CAS): A Minimally Invasive Option
Carotid Stenting is a non-surgical, catheter-based procedure where a small metal stent is placed inside the artery to keep it open.
Best suited for:
- Patients at high surgical risk (due to heart/lung issues)
- Those with mild to moderate blockage
- Patients preferring a less invasive approach
Advantages:
- No large incisions or stitches
- Shorter recovery time compared to surgery
Risks:
- Higher risk of small strokes or blood clots
- May require blood-thinning medications long-term
Which One is Right for You?
The choice depends on your age, overall health, severity of blockage, and risk factors. A neurologist and vascular specialist like Dr. Apratim Chatterjee will assess your condition and recommend the most suitable treatment.
Final Thoughts
Both Carotid Endarterectomy and Stenting are effective in preventing strokes. Consulting an expert ensures the best decision for your long-term health.
Concerned about carotid artery blockage? Book a consultation with Dr. Apratim Chatterjee to explore your best treatment options!