Episode # 42 • 07 Jul 2026
Carotid Artery Stenting: Techniques, Tips, & Challenges
Slow is smooth, smooth is fast, and that’s true for carotid artery stenting too. In this episode of the BackTable Cardiology Podcast, Dr. Hady Lichaa welcomes Dr. Navneet Sharma to discuss practical tips for carotid artery stenting, including can’t-skip pre-procedure imaging, minimizing aortic arch manipulation, and how a healthy dose of patience helps catheter advancement more than you might think.
Timestamps
00:00 - Introduction
01:59 - Complex Case Walkthrough
09:47 - Preprocedure Workup
16:31 - Femoral Catheter Playbook
24:18 - Embolic Protection Strategy
26:12 - Step By Step Stenting Walkthrough
34:38 - Antiplatelet Checklist
48:18 - Tortuosity and Arch Tips
52:12 - Calcified Access Solutions
59:42 - Wrap up and Credits
Resources
- Dr. Hady Lichaa’s physician profile
- Dr. Navneet Sharma’s physician profile
- Medical Management and Revascularization for Asymptomatic Carotid Stenosis (CREST-2)
- Transcranial Duplex Evaluation of Internal Carotid Artery Flow Direction during Transcarotid Artery Revascularisation with Integrated Embolic Protection
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More about this episode
Through notable case examples and common procedural dilemmas, Dr. Sharma explains how anatomy and clinical risk guide patient selection, the choice between radial and femoral access, and a step-by-step guidewire technique. The discussion also explores optimal anticoagulation regimens, advances in embolic protection, and technical solutions for challenging cases like tortuosity and calcified access. Drs. Lichaa and Sharma highlight the importance of teamwork in carotid interventions and share career development advice for operators looking to refine their skills in this evolving field.
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