Carotid Artery Revascularization in 2026 and Beyond: Opportunities and Obstacles

Experts discuss the evolving roles of CEA, TF-CAS, and TCAR, the evidence still needed, and the technologies poised to shape the future of carotid intervention.

With D. Chris Metzger, MD, and Nicolas J. Mouawad, MD, MPH, MBA, DFSVS, FACS, FRCS, RPVI

Innovating to Address Unmet Needs

By Patrick Muck, MD

Building a Multidisciplinary Carotid Care Model

Considerations for a collaborative, team-based approach to carotid disease in the modern era, including patient pathways, shared decision-making, and strategies to support optimal outcomes.

With William A. Gray, MD, MSCAI, FACC; Preethi Ramchand, MD; and Vincent M. DiGiovanni, DO

Excellence in Action

By Eric A. Secemsky, MD, MSc, RPVI, FACC, FAHA, FSCAI, FSVM

Carotid Artery Stenting Training: How to Ensure Preparedness and Proficiency

Dr. Kenneth Rosenfield discusses proficiencies required for performing transfemoral carotid artery stenting and how best to ensure these are met, who is responsible for training in these procedures, advice for interested operators or those who need a refresher, and the value of multidisciplinary collaboration.

Refresher: The 2023 NCD for Carotid Stenting

What physicians need to know about the expanded carotid artery stenting coverage, including choice of therapy, shared decision-making, and imaging requirements.

By Don Heck, MD

Current TF-CAS and TCAR Technology Landscape

A review of currently available stenting platforms for the treatment of carotid artery disease.

Identifying the Right Carotid Therapy for Each Patient

Dr. William Gray talks with Drs. Sonya Noor, Adnan Siddiqui, and Peter Soukas about how they approach treatment decisions for patients with carotid artery disease, their algorithms, patient and lesion characteristics that help guide decisions, and their shared decision-making process with both the multidisciplinary team and individual patient.

With moderator William A. Gray, MD, MSCAI, FACC, and panelists Sonya Noor, MD, FACS; Adnan Siddiqui, MD, PhD; and Peter A. Soukas, MD

Personalizing Carotid Revascularization

By William A. Gray, MD, MSCAI, FACC

Effects of the Carotid Artery Stenting NCD on Current Decision-Making for Carotid Disease

Impact of the NCD on referrals and volumes of transfemoral carotid artery stenting, the multidisciplinary approach to evaluation and treatment, considering patient factors and patient preference, device selection, and approaches to concomitant stroke and carotid disease.

With Meghan Dermody, MD, and Adnan Siddiqui, MD, PhD

IVL for Dense, Complex Carotid Artery Disease

A case study on intravascular lithotripsy for the treatment of calcified carotid disease to demonstrate technical feasibility and the need for further study.

By Peter A. Soukas, MD, and Pieter Storm de Klerk, MBChB

What’s Your Approach?

By Herb Aronow, MD, MPH, FACC, MSCAI, MSVM