Article Type: Review Article Article History:

Carotid stenosis is seen in about 10 % of patients with ischemic stroke. Many studies have been performed that provide insight into the natural history, diagnosis, and optimal management of carotid disease. Both medical management and surgery have advanced to the point that patients and their providers have many options when considering treatment. Over the last several years, carotid artery stenting has been shown to be a viable treatment choice in selected patients. Both stenting and endarterectomy are superior to medical management alone in stroke prevention when patients are properly selected. In this article we try to review the most recent data regarding the two procedures in the treatment of carotid stenosis and also discuss the controversies in carotid artery revascularization. ►Implication for health policy/practice/research/medical education: This review is intended for those managing patients with carotid disease and aims to provide the recent advances in carotid revascularization. ►Please cite this paper as: Mowla A, Volpi JJ. Advances in Carotid Artery Revascularization. Int cardiovasc Res J.2012; 6(1):1-7. 1. Epidemiology of Carotid Disease Like in cardiac and peripheral aterial disease, the primar