The paper analyzes several large, multicenter randomized controlled trials encompassing data from over 25 years and more than 10,000 patients to demonstrate that carotid artery stenting can be just as effective as surgery when it comes to long-term stroke prevention and durability. 'Overall, stenting and surgery are equivalent in patients who are good candidates for both, and the patient and their doctor should discuss which one is better for the individual patient.' 'Carotid artery stenting is a minimally invasive procedure compared to open surgery,' explains first author Christopher White, MD, System Chairman for Cardiovascular Disease Director and Director of John Ochsner Heart & Vascular Institute. Significant advances in the field of carotid artery stenting have occurred, which are detailed in the new paper, 'Carotid Artery Stenting.' The lesions are typically long, and clinical presentation is di- verse.When it comes to options for cardiac patients, carotid artery stenting is a procedure that can improve blood flow to the brain. involvement of peripheral atherosclerotic disease. Although PTA is an effective treatment method in infrain- guinal arterial occlusive disease, there is a subgroup of Background patients with nonconcentric, calciﬁed and long-segment ste- noses, and occlusions, in which results of PTA are poor and The superﬁcial femoral artery (SFA) is a common site of where stenting may have a role. 2004 Cardiovasc Intervent Radiol (2004) 27:198 –203 CardioVascular Published Online: DOI: 10.1007/s0027-1 and Interventional Radiology Guidelines for Stenting in Infrainguinal Arterial Disease 1 2 Dimitrios Tsetis, Anna-Maria Belli Department of Radiology, University Hospital of Heraklion, Medical School of Crete, Heraklion, Greece Department of Radiology, St George’s Hospital, Blackshaw Road, London SW19 6BG Key words: Angioplasty-Stents-Femoropopliteal- equivalent short- and long-term beneﬁt, the technique with Tibioperoneal-Artery-Restenosis the least morbidity and mortality must be used ﬁrst. CardioVascular and Interventional Radiology Springer Journals

Invasive methods of treatment (percutaneous or sur- gical revascularization) should be reserved for patients with Lesion Classiﬁcation and Treatment lifestyle disabling claudication, ischemic rest pain or non- Options healing ischemic ulcers and gangrene Patients with pop- liteal and below-knee occlusive disease often present with The The lesions are typically long, and clinical presentation is di- verse. Guidelines for Stenting in Infrainguinal Arterial Disease Guidelines for Stenting in Infrainguinal Arterial Disease

Guideliner for stenting