Carotid artery stenosis is one of the most serious vascular conditions, as untreated narrowing can lead to a stroke. The choice of treatment depends on the severity of the blockage, the patient’s symptoms, and overall health. The main treatment options include:
1) Carotid Endarterectomy (CEA)
What is it?
A precise surgical procedure in which the carotid artery is opened and the atherosclerotic plaque causing the blockage is removed. The artery is then safely closed to restore normal blood flow to the brain.
When is it recommended?
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Severe narrowing of the carotid artery (typically more than 70%)
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Presence of symptoms such as TIA, dizziness, sudden numbness, speech difficulty, or weakness
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When the patient is suitable for open surgery
Advantages:
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Highly effective in preventing stroke
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Excellent long-term results
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The best option for many patients, especially younger individuals or those with firm plaque buildup
How is it done?
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Performed under general or regional anesthesia
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The artery is exposed, opened, and the plaque is removed
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A patch may be added to reinforce the artery wall
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Most patients are discharged within 24–48 hours
2) Carotid Artery Stenting (CAS)
What is it?
A minimally invasive procedure performed without open surgery. A thin catheter is inserted through the femoral or radial artery and guided to the carotid artery, where a balloon is used to widen the narrowing and a stent is placed to keep it open.
When is it recommended?
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Patients who are not good candidates for open surgery (elderly, heart or lung disease)
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Recurrent stenosis after previous surgery
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Narrowing is located in areas that are difficult to treat surgically
Advantages:
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No large incision
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Very short recovery time
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Same-day or next-day hospital discharge
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Excellent outcomes using embolic protection devices
How is it done?
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Performed under local anesthesia
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A protective filter is placed to prevent any debris from reaching the brain
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Balloon angioplasty is performed, then the stent is deployed
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Short observation followed by quick return to normal activities
At Dr. Mohamed Rafiq Saafan’s Clinic
Treatment is selected based on:
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Degree of carotid artery stenosis
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Presence or absence of symptoms
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Duplex ultrasound and MRI findings
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The patient’s overall medical condition
Both advanced surgical techniques and minimally invasive endovascular procedures are provided to ensure maximum safety and effective stroke prevention.
💡 Why choose Dr. Mohamed Rafik Saafan's clinic?
Extensive experience in vascular surgery and diabetic foot treatment.
Utilization of the latest interventional catheterization and microsurgical techniques.
An individualized treatment plan for each patient to ensure optimal results and maximum safety.