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Carotid Stenting and Endarterectomy

What are Carotid Stenting and Endarterectomy? 

Carotid stenting and endarterectomy are treatments for carotid artery disease. Carotid artery disease occurs when fatty deposits known as plaques block the carotid arteries or the blood vessels that bring blood to the brain and head. This can lead to stroke or a TIA, which are considered medical emergencies.  

Who is a Candidate for Carotid Stenting and Endarterectomy? 

Carotid artery stenting is FDA-approved for preventing strokes in patients who are at high risk for carotid endarterectomy. 

Carotid endarterectomy is considered an option for patients with more than 70% narrowing in the carotid artery and who have had stroke or TIA symptoms, who have a severe blockage with no symptoms, or who have recent symptoms and moderate blockage. To learn more about this procedure and what to expect, consult with your vascular physician. 

“Dr. Julien and his people are the most cohesive, personable and professional I’ve ever come across. From the time I walk in to when I leave I feel like they care about me. The result is good healing.”

– James R.

“Dr. Julien and his people are the most cohesive, personable and professional I’ve ever come across. From the time I walk in to when I leave I feel like they care about me. The result is good healing.”

– Josh R.

“Staff is awesome! Extremely knowledgeable & professional. They explained every step to me and spent plenty of time to answer my questions.”

– Anthony P.

“I was referred to Dr. W. Julian by my PCP and very happy that I was. Dr. Julian found a clogged artery that could have been life threatening if left untreated. My experience from consult to discharge was met courtesy, warmth and professionalism which helped me through my procedure. Sean greeted me and my son who explained the whole process and what to expect. I was also looked after by Josh, Jackie and Reuben who could not have been more supportive or communicative through this adventure.”

– Lorette K.

“The whole staff were very professional and very helpful in navigating me through every procedure, treatments and follow ups. I would certainly recommend South Florida Vascular Associates.”

– Don S.

“I have been very impressed by the way this office functions. Each and every person I’ve encountered has been very personable and professional. I’ve had minimal wait times before being seen. The tests I’ve had were done efficiently and results explained to me quickly. I would highly recommend this office.”

– Robert G.

“All of the staff were friendly, courteous, and professional. Examination and consultation were thorough and expedited in a timely manner. I felt relaxed throughout the visit and all my medical questions and concerns were met and answered to my satisfaction. Would recommend this office to anyone seeking vascular care.”

– Felix G.

“I highly recommend this office for any vascular procedure you may need. The staff are awesome. They were very considerate and professional. My procedures were all a success and I am very happy with the end result. Top marks on everything.”

– Todd H.

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The Carotid Stenting Procedure

Carotid stenting is an endovascular technique used to open carotid arteries that are blocked and prevent stroke. Because carotid stenting is a minimally invasive procedure, it provides an exceptional treatment option for patients with carotid artery disease who are high-risk candidates for endarterectomy surgery.

A carotid angiogram, which is a type of X-ray study, can show the degree of blockage of the carotid arteries. Other tests such as ultrasound and magnetic resonance angiography (MRA) can also be used to visualize blockages in the carotid arteries.

The carotid artery stenting procedure only requires a local anesthetic. A small puncture will be made into an artery in the groin area rather than opening the artery in the neck. The blocked artery is treated with balloon angioplasty and the placement of a stent – a small, self-expanding metal tube or ‘scaffold’ that keeps the vessel open, thereby preventing stroke. A small filter is used to catch and eliminate loose pieces of plaque that develop during the stenting procedure before they travel to the brain and create a stroke.  

Patients who receive a carotid stent can usually leave the hospital 1-2 days after the procedure.

The Carotid Endarterectomy Procedure 

Carotid endarterectomy is a surgical procedure performed to remove deposits of fat called plaque from the carotid arteries located in the neck. These two main arteries, located on each side of the neck, deliver blood and oxygen to the brain.

As people age, plaque builds up in the arteries causing a disease called atherosclerosis, or hardening of the arteries. This can cause the arteries to narrow and thicken, reducing blood flow to the brain. When narrowing occurs in either one or both of the carotid arteries, this condition is called stenosis. 

During a carotid endarterectomy, a vascular physician removes the fatty deposits to correct the narrowing, allowing the blood and oxygen to flow freely to the brain. 

Carotid Stenting and Endarterectomy Aftercare 

Following carotid stenting, you may be able to return home from the hospital the day after your procedure, while those who undergo carotid endarterectomy will be required to stay in the hospital for a couple of days for observation. Your physician will instruct you regarding aftercare such as which medications to take and when you can return to everyday activities. 


William Julien, MD

Board-Certified Vascular Interventional Physician


Mana Khatkar, PA-C

Certified Physician Assistant


Anissa Rodriguez, NP-C

Certified Nurse Practitioner


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For more information regarding carotid stenting and endarterectomy, please contact South Florida Vascular Associates today by giving us a call or filling out our online form. We serve the greater Southeast Florida areas with locations in Coconut Creek, Boynton Beach, and Plantation, FL.