Carotid stenting stenosis of the internal carotid artery. Carotid stenting may be considered an alternative to carotid surgery in average surgical risk patients, albeit with a higher risk of death or stroke as seen in the SAPPHIRE and CREST trials. Features that favor carotid stenting include non-atherosclerotic cause of the stenosis (fibrodysplasia, radiation, early post-surgical stenosis or flap) an experienced center and experienced physician performing the procedure. Features that make stent placement more difficult include significant aortic arch tortuosity, thrombus containing lesions, occluded carotid artery, heavily calcified vessels, symptomatic patients and very tortuous and twisting vessels. None of these affect open, surgical
Carotid triangle Carotid triangle The carotid triangle (or superior carotid triangle) is a portion of the anterior triangle of the neck. It is bounded: It is (covered) by the integument, superficial fascia, Platysma and deep fascia; Its floor is formed by parts of the -1 Thyrohyoid membrane, -2Hyoglossus, and the -3Constrictores pharyngis medius and inferior. The external and internal carotids lie side by side, the external being the more anterior of the two. The following branches of the external carotid are also met with in this space: The veins met with are: ...all of which end in the internal jugular vein Superficial