What happens during a stent procedure?
A minimally invasive procedure generally performed under local anesthesia.
Benefits and Complication of Stent Surgery
Reduced risk of stroke, quick recovery.
Carotid Stenting Research at NYU
Current clinical trials evaluating and debating the best treatment methods for atherosclerosis and carotid artery disease.
Why Choose NYU for Stent Surgery?
The largest team of top-level vascular specialists in NYC, leaders of vascular research and treatment worldwide.
NYU's Stent Surgery Experts
Listing of NYU vascular surgeons who specialize in angioplasty and stenting.
What happens during a stent procedure?
Once the diagnosis of significant stenosis (arterial narrowing) is made, the most appropriate therapy is vascular surgery, which may include stenting.
Your surgeon will help you decide which procedure is best for you. NYU's vascular surgeons offer a variety of treatment options for atherosclerosis. Treatment is individualized to each patient.
In most cases, the patient is awake and alert during stent surgery.
Stent Procedure
- A local anesthetic is administered in the groin and surgery begins.
- The surgeon makes an incision in the groin and inserts a catheter from the groin to the site of the artery blockage.
- The surgeon performs an angiogram, injecting dye through the catheter to see the artery on an X-ray and detect the blockage.
- The surgeon places a small protective filter above the blockage. The filter catches any particles that may break off from the blockage, preventing risk of stroke during the surgery.
- The surgeon performs a balloon angioplasty
and places a stent < arterystentsgrafts.html> to alleviate the blockage. - Patients typically return home the same day as the procedure.
More information about stenting is available on the Society for Vascular Surgery website.
Benefits and Complication of Stent Surgery
Carotid endarterectomy and carotid stent have been proven to reduce the risk of stroke.
Patients typically feel well in a matter of days following surgery.
Complications of Stent Surgery
The most common complication associated with surgery is stroke, which can occur in the perioperative period (during or shortly following surgery).
NYU's vascular surgeons have a 1–2% perioperative complication rate, one of the lowest worldwide, and a 1.5% morbidity rate in preventing stroke by removing plaque from arteries, the lowest in New York state.
Carotid Stenting Research at NYU
Surgeons at NYU continually evaluate and debate the use of angioplasty and stents over carotid endarterectomy in treating carotid artery disease. Current clinical trials include:
Why Choose NYU for Stent Surgery?
NYU Medical Center's vascular surgeons perform all types of arterial surgery—artery stenting, angioplasty, carotid endarterectomy, and bypass surgery—and critically evaluate each patient's unique vascular health needs to produce the best individualized treatment plan.
NYU Medical Center's Division of Vascular Surgery offers the largest team of top-level vascular specialists in New York City. Members of a leading academic medical center, NYU's vascular surgeons are deeply committed to finding the most advanced, innovative, proven methods to treat atherosclerosis.
NYU's vascular surgeons have proven success in their outcomes: a 1–2% perioperative complication rate, one of the lowest worldwide, and a 1.5% morbidity rate in preventing stroke by removing plaque from arteries, the lowest in New York state.
NYU's vascular surgeons are academic experts in the area of carotid artery disease, having written volumes of articles, books, and papers
1. "Endarterectomy for asymptomatic carotid artery stenosis"
Journal of the American Medical Association. 1995, 273:1421-1428.
Details the Asymptomatic Carotid Artery Stenosis (ACAS) trial in which carotid endarterectomy proved more beneficial than medical management for asymptomatic carotid stenosis.
2. New England Journal of Medicine. 1991, 325:445-453.
The North American Symptomatic Carotid Endarterectomy Trial (NASCET), the most important trial for symptomatic carotid stenosis, demonstrated that carotid endarterectomy was more beneficial than medical therapy for symptomatic high-grade carotid artery stenosis.
