Carotid Endarterectomy v. Stent

62-year-old man for consideration of Right carotid Endarterectomy vs Stent


  • Left CEA 2001
  • Adult polycystic kidney disease – Haemodialysis dependent
  • Hypertension
  • NIDDM – Diet only
  • Recent normal sestamibi


  • Asymptomatic high-grade right internal carotid artery stenosis – 80%
  • Previous TIA and left CEA
  • On clopidogrel


CEA vs Stent

  • Patient suitable for either procedure as per surgical decision
  • Minimal anaesthetic required for carotid stent
  • Stent often performed by interventional neuroradiologist


  • Inform surgical team of meeting outcome
  • Proceed with either procedure