Blocked carotid arteries are a leading cause of stroke, one of the most serious and life-threatening medical emergencies. Carotid stenting is a minimally invasive alternative to open surgery that helps restore blood flow to the brain and reduces the risk of stroke in high-risk patients.
At Vascular Surgery Associates, our top vascular specialists in Los Angeles and Santa Monica provide advanced carotid stenting procedures for patients who may not be ideal candidates for traditional surgery. Using state-of-the-art endovascular techniques, we help patients achieve better vascular health and long-term stroke prevention.
Understanding Carotid Artery Disease and Stroke Risk
The carotid arteries, located on each side of the neck, are the main blood vessels supplying oxygen-rich blood to the brain. Over time, these arteries can become narrowed or blocked by plaque buildup (atherosclerosis), restricting blood flow and increasing the risk of stroke.
Common Risk Factors for Carotid Artery Disease
- High blood pressure Damages artery walls, making them more susceptible to plaque buildup
- Smoking Significantly accelerates the hardening of the arteries
- High cholesterol Increases fatty deposits in the carotid arteries
- Diabetes Raises the risk of vascular disease due to high blood sugar levels
- History of stroke or transient ischemic attacks (TIAs) Prior strokes or “mini-strokes” indicate a higher risk of future strokes
Without treatment, carotid artery disease can lead to stroke, brain damage, or even death. Early diagnosis and intervention are essential for preventing complications.
Carotid Stenting vs. Traditional Carotid Surgery
For decades, carotid endarterectomy (CEA) has been the gold standard for treating severe carotid artery disease. This open surgical procedure removes plaque from the artery, significantly reducing the risk of stroke.
However, for patients who have severe heart or lung disease, are at high surgical risk, or have previously undergone carotid surgery, carotid stenting provides a less invasive alternative.
How Carotid Stenting Works to Prevent Strokes
Carotid stenting is a minimally invasive, catheter-based procedure designed to open narrowed carotid arteries and prevent stroke.
- A small catheter is inserted into the artery, usually through the groin.
- A filter device is placed above the blockage to catch any debris that may dislodge during the procedure.
- A tiny balloon is inflated to widen the artery and improve blood flow.
- A mesh-like stent is placed in the artery, keeping it open long-term and preventing further narrowing.
Carotid stenting offers a safer option for high-risk patients who may not tolerate traditional open surgery.
Who is a Candidate for Carotid Stenting?
Carotid stenting is most often recommended for patients at high risk for complications from carotid endarterectomy. It may be the preferred treatment for individuals who:
- Have severe carotid artery disease but cannot undergo open surgery due to heart or lung conditions
- Have recurrent narrowing (restenosis) after a previous carotid surgery
- Have an unusual artery structure that makes open surgery more difficult
- Prefer a less invasive option with a shorter recovery time
At Vascular Surgery Associates, our specialists perform thorough imaging tests, including angiograms, ultrasounds, and MRIs, to determine whether carotid stenting is the best treatment for each patient.
Comparing Stroke & Heart Attack Risks for Carotid Stenting vs. Surgery
Large-scale clinical studies have compared carotid stenting and endarterectomy, revealing both benefits and risks for each procedure.
Carotid Endarterectomy (CEA)
Has a 2% risk of stroke and 2% risk of heart attack
Carotid Stenting
Has a 4% risk of stroke and 1% risk of heart attack
While surgery is often preferred for most patients, carotid stenting remains a critical alternative for those with a higher surgical risk. Our vascular specialists carefully evaluate each patient’s individual risk factors to ensure the safest and most effective treatment plan.
Benefits of Carotid Stenting
Minimally invasive
No large incision or general anesthesia required
Faster recovery
Most patients return home the same day or after a short hospital stay
Lower risk for high-risk patients
A safer alternative for those with severe heart or lung conditions
Long-term stroke prevention
Stents help keep arteries open and blood flowing properly
High success rate
Reduces the risk of stroke in appropriately selected patients
Our Los Angeles and Santa Monica vascular specialists provide customized stroke prevention plans, ensuring that every patient receives the best treatment for their condition.
Frequently Asked Questions About Carotid Stenting
Carotid stenting typically takes 30 to 60 minutes, depending on the complexity of the blockage.
Most patients can return home within 24 hours and resume light activities within a few days. Strenuous exercise should be avoided for about a week.
While carotid stenting significantly reduces stroke risk, patients should still manage risk factors through lifestyle changes and medication.
Most insurance plans, including Medicare, cover carotid stenting if medically necessary. Our office provides insurance verification and assistance.
Carotid stents are designed to be permanent and help prevent artery re-narrowing. However, regular check-ups and monitoring are necessary to ensure long-term success.
Dedicated to Excellence in Vascular Care Since 1963
Vascular Surgery Associates (VSA) has established itself as a cornerstone of vascular health in Southern California, combining decades of experience with cutting-edge treatment methods. Founded by visionary surgeons in 1963, our practice has grown from pioneering beginnings into one of the busiest and most respected vascular surgery groups in the Western United States.
Expert Carotid Stenting in Los Angeles & Santa Monica – Protect Your Brain Health Today
Carotid artery disease is a serious condition, but minimally invasive carotid stenting can significantly lower stroke risk and improve circulation to the brain. At Vascular Surgery Associates, our highly skilled vascular specialists in Los Angeles and Santa Monica provide state-of-the-art carotid stenting procedures to ensure safe, effective, and long-term vascular health.
Contact us today to schedule a consultation and learn if carotid stenting is the right stroke prevention treatment for you.