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Updated: Aug 15, 2026

A Magnetic Resonance Imaging-based Computational Protocol for Analysis of Plaque Morphology and Hemodynamics in Patients with Carotid Artery Stenosis
09:36

A Magnetic Resonance Imaging-based Computational Protocol for Analysis of Plaque Morphology and Hemodynamics in Patients with Carotid Artery Stenosis

Published on: August 12, 2025

Indications for revascularization in patients with internal carotid artery stenosis

M Pasquini1, D Leys

  • 1Lille University Hospital, Department of Neurology, Lille, France.

Acta Chirurgica Belgica
|September 28, 2005
PubMed

Insights

Preventing ischaemic stroke in internal carotid artery stenosis involves managing risk factors, using anti-thrombotic agents, and considering carotid revascularization. Surgery is best for severe, symptomatic stenosis, while angioplasty suits specific cases.

Area of Science:

  • Neurology
  • Vascular Surgery
  • Cardiology

Background:

  • Internal carotid artery stenosis is a significant risk factor for ischaemic stroke.
  • Effective stroke prevention requires a multi-faceted approach.

Purpose of the Study:

  • To outline optimal strategies for ischaemic stroke prevention in patients with internal carotid artery stenosis.
  • To define the indications for carotid revascularization, including surgery and angioplasty.

Main Methods:

  • Review of current clinical guidelines and evidence for stroke prevention strategies.
  • Analysis of patient selection criteria for carotid revascularization based on symptoms and stenosis severity.

Main Results:

  • Carotid revascularization is most beneficial for severe, recently symptomatic stenosis.
  • Benefits are marginal for high-grade asymptomatic or moderate symptomatic stenosis.
  • Angioplasty is an alternative for symptomatic stenosis in specific patient groups.

Conclusions:

  • A tailored approach combining risk factor control, anti-thrombotic therapy, and judicious revascularization is crucial.
  • Carotid surgery is indicated for severe symptomatic stenosis; angioplasty has a more restricted role.

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