Neuro interventional procedures have witnessed significant advancements in recent years, revolutionizing the treatment landscape for various cerebrovascular diseases. Among these procedures, carotid stenting has emerged as a crucial technique in managing carotid artery stenosis, a condition that can lead to serious neurological complications such as stroke. This blog will delve into the intricacies of Carotid Stenting in Neuro Intervention, its indications, procedural details, and the evolving landscape of this neuro interventional approach.

Understanding Carotid Artery Stenosis

Carotid artery stenosis refers to the narrowing of the carotid arteries, which are vital blood vessels that supply blood to the brain. This condition is often caused by the buildup of atherosclerotic plaque, compromising blood flow and increasing the risk of stroke. Recognizing the severity of carotid artery stenosis is crucial, as it can lead to ischemic strokes, which account for a significant portion of all strokes.

Indications for Carotid Stenting

Carotid stenting is typically considered in patients with symptomatic high-grade carotid artery stenosis who are at an increased risk for surgery or in those where carotid endarterectomy (CEA) is deemed inappropriate. Symptomatic patients include those who have experienced a transient ischemic attack (TIA) or a minor stroke attributed to the stenosis.

The decision to pursue carotid stenting is made based on various factors, including the patient’s overall health, anatomy of the carotid arteries, and the presence of comorbidities. Neurointerventionalists carefully assess each case to determine the most suitable treatment approach.

The Carotid Stenting Procedure

Patient Evaluation: Before the procedure, a thorough assessment is conducted, including medical history, physical examination, and imaging studies such as angiography, CT angiography, or magnetic resonance angiography.

Informed Consent: Informed consent is obtained from the patient, providing detailed information about the procedure, potential risks, and expected outcomes.

Accessing the Artery: The procedure is typically performed via a minimally invasive approach, where a catheter is inserted into the femoral artery and guided to the carotid artery under fluoroscopic guidance.

Angioplasty: Once the catheter reaches the site of stenosis, a balloon is inflated to widen the narrowed artery, promoting improved blood flow.

Stent Placement: A stent, a small mesh-like tube, is then deployed to keep the artery open. The stent provides structural support and prevents the artery from collapsing.

Post-procedural Monitoring: After the stent is in place, the patient is closely monitored for any complications. Antiplatelet medications are often prescribed to prevent blood clot formation around the stent.

Advantages and Challenges

Carotid stenting offers several advantages, including its minimally invasive nature, reduced recovery time, and suitability for patients who may not be candidates for surgery. However, challenges such as the risk of embolization and the potential need for lifelong antiplatelet therapy should be carefully considered.

Evolving Landscape and Future Directions

Ongoing research and technological advancements continue to shape the field of neurointervention, including carotid stenting. Improvements in stent design, imaging techniques, and patient selection criteria contribute to enhanced outcomes and safety. Additionally, emerging technologies such as bioresorbable stents and advanced neuroimaging hold promise for further refining carotid stenting procedures.


Carotid stenting has become a valuable tool in the neuro interventional toolbox, offering a less invasive alternative for managing carotid artery stenosis. As technology and understanding of cerebrovascular diseases continue to advance, the landscape of carotid stenting is likely to evolve, providing clinicians with more sophisticated tools to improve patient outcomes and reduce the burden of stroke-related morbidity and mortality.

Our Doctors

Dedicated IR Center for Vascular Problems in Madhya Pradesh

MD, PDCC (INTERVENTIONAL RADIOLOGY) Consultant & Co-Director CVIC (Center Of Vascular & Interventional Care)

MD Radiology, PDCC (Neurointervention Radiology), PDCC ( HPB Intervention Radiology) FINR (Switzerland) & EBIR
Endovascular Surgeon & Consultant Interventional Neuroradiologist at Care CHL Hospital, Indore Co-director CVIC( center for vascular and interventional care)

Consultant Intervention Radiologist
MD Radiology, PDCC ( Neurointervention Radiology), FINR ( Fellowship in Neurointervention Radiology)
Co-director CVIC(Center for Vascular and Interventional Care)

Contact Details

Phone no.

0731 4675670
+91 9827760073



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