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Carotid Endarterectomy and Stenting

Carotid Endarterectomy and Stenting at NYU Winthrop Hospital

The latest advances in treating carotid artery disease

The carotid arteries, which are located in the neck, are the main blood vessels carrying oxygen-rich blood to the brain. Plaque that builds up on the inner surface of the carotid artery can narrow or constrict the vessel, causing carotid artery disease (also called stenosis) and reducing blood flow to the brain. What’s more, pieces of the plaque can break off and travel up the internal carotid artery to the brain, where it can block circulation and cause a stroke.

Carotid endarterectomy is a surgical procedure that removes plaque from the carotid artery and restores blood flow to the brain. It is used to prevent stroke by correcting carotid artery disease and stenosis.

How is a Carotid Endarterectomy and Stenting Performed?

During a carotid endarterectomy, our neurosurgeons make an incision in the affected artery and removes the plaque contained in the artery’s inner lining. This procedure opens the vessel and restores normal blood flow.

Carotid artery stenting is a non-surgical, minimally invasive, catheter-based procedure. The surgeon threads a catheter up from the groin into the carotid artery. The catheter uses a balloon to expand the artery, and a stent is then inserted. The stent, a tiny mesh device, holds the artery open by holding back the flattened plaque like scaffolding in a mineshaft.

Our Carotid Endarterectomy and Stenting Treatment Team

Jonathan Brisman, MD, FACS
Director, Cerebrovascular & Endovascular Neurosurgery

John Pile-Spellman, MD, FACR
Endovascular Neuroradiologist