What is Carotid Stenting and How Does It Improve Blood Flow to the Brain?

What is Carotid Stenting?

Carotid stenting is a medical procedure that helps open narrowed carotid arteries. These arteries are found on each side of your neck. They carry blood from your heart to your brain. When these arteries become blocked, your risk of stroke increases. During carotid stenting, a small metal mesh tube called a stent is placed inside the artery. This stent keeps the artery open and helps blood flow more easily. Many people choose carotid stenting because it is less invasive than surgery.

Why is Carotid Stenting Needed?

Doctors may suggest carotid stenting if your carotid arteries are narrowed by fatty deposits, also called plaque. This condition is known as carotid artery disease. If left untreated, it can lead to a stroke. Some people may not have symptoms, but others may notice warning signs. For example, you may experience:

  • Sudden weakness or numbness on one side of the body
  • Trouble speaking or understanding speech
  • Sudden vision loss in one eye
  • Dizziness or loss of balance
  • Sometimes, people with a high risk of stroke or those who cannot have surgery are good candidates for carotid stenting. According to the CDC, stroke is a leading cause of death and disability, so early treatment is important.

    How is the Carotid Stenting Procedure Performed?

    Carotid stenting is usually done in a hospital. First, you will receive medicine to help you relax. Next, the doctor will numb the area, often in your groin or arm. Then, a thin tube called a catheter is inserted into a blood vessel. Using X-ray guidance, the doctor moves the catheter to the blocked carotid artery. A small balloon may be used to widen the artery. After that, the stent is placed to keep the artery open. The balloon is removed, but the stent stays in place. The whole carotid stenting procedure often takes one to two hours. Most people go home the next day.

    Benefits of Carotid Stenting

    Carotid stenting offers several benefits, especially for those at high risk for surgery. Some key carotid stenting benefits include:

  • Lower risk of stroke compared to no treatment
  • Less invasive than open surgery
  • Shorter hospital stay and faster recovery
  • Relief from symptoms like weakness or vision loss
  • Additionally, carotid stenting can help improve your quality of life by reducing your risk of future strokes.

    Risks and Possible Complications

    Like any medical procedure, carotid stenting has risks. However, most people do well. Some possible risks of carotid stenting include:

  • Stroke during or after the procedure
  • Bleeding or bruising at the catheter site
  • Allergic reaction to the dye used in X-rays
  • Infection
  • Blood clots forming in the stent
  • Your doctor will discuss these risks with you. The benefits often outweigh the risks, especially if you have severe artery narrowing. According to the American Heart Association, the risk of major complications is low in most cases.

    Recovery and Aftercare

    After carotid artery stent recovery, most people feel better within a few days. However, you may need to rest for 24 hours after the procedure. Your doctor will give you instructions for care at home. For example:

  • Take all medicines as prescribed, especially blood thinners
  • Watch for signs of infection or bleeding
  • Avoid heavy lifting for a week
  • Keep the catheter site clean and dry
  • Attend all follow-up appointments
  • If you notice chest pain, trouble breathing, or sudden weakness, call your doctor right away. With proper care, most people return to normal activities soon.

    Prevention and Lifestyle Tips

    Even after carotid stenting, it is important to keep your arteries healthy. You can lower your risk of future problems by making healthy choices. Here are some tips:

  • Eat a balanced diet low in saturated fat and salt
  • Exercise regularly, such as walking or swimming
  • Stop smoking if you smoke
  • Manage high blood pressure, diabetes, and cholesterol
  • Maintain a healthy weight
  • Take medicines as directed by your doctor
  • By following these steps, you can help prevent carotid artery disease and reduce your risk of stroke.

    Conclusion

    Carotid stenting is a safe and effective way to treat blocked carotid arteries. It can lower your risk of stroke and help you feel better. However, it is important to understand the procedure, benefits, and risks. Always talk to your doctor about your options. Consult a cardiologist for personalized advice on carotid stenting.