DISEASES OF THE AORTA, PULMONARY AND PERIPHERAL VESSELS: Edited by Alan BravermanCarotid artery stenting an updateSpiliopoulos, Stavros; Vasiniotis Kamarinos, Nikiforos; Reppas, Lazaros; Palialexis, Konstantinos; Brountzos, Elias Author Information Interventional Radiology Unit, 2nd Department of Radiology, School of Medicine, National and Kapodistrian University of Athens, Attikon University General Hospital, Athens, Greece Correspondence to Stavros Spiliopoulos, MD, PhD, EBIR, FCIRSE, Asst. Professor of Interventional Radiology Unit, 2nd Department of Radiology, School of Medicine, National and Kapodistrian University of Athens, Attikon University General Hospital, Athens, Greece. Tel: +30 6937403468/+30 2105831832; e-mail: [email protected],[email protected] Current Opinion in Cardiology 34(6):p 616-620, November 2019. | DOI: 10.1097/HCO.0000000000000679 Buy Metrics Abstract Purpose of review To present the latest evidence about carotid artery stenting (CAS) including indications, safety, efficacy, and available equipment. Recent findings The micromesh stent, a new stent design which offers excellent flexibility and embolic protection, has been associated with promising outcomes. Summary CAS has emerged as a minimally invasive treatment method for carotid artery stenosis with comparable outcomes with surgical management. The implementation of new technology combined with operator experience has led to a paradigm shift; however, to date, no robust evidence exists about patient and lesion selection. Many studies are underway to clarify the technical aspects of CAS as well as the optimal treatment of carotid artery stenosis for each patient population. Copyright © 2019 Wolters Kluwer Health, Inc. All rights reserved.