Carotid Artery Stenting: Techniques, Tips & Challenges w/ Dr. Navneet Sharma | Cardiology Ep. 42

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. --- Get the BackTable app https://www.backtable.com/app --- 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 --- 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. --- Resources Dr. Hady Lichaa’s physician profile: https://healthcare.ascension.org/find... Dr. Navneet Sharma’s physician profile: https://providers.clevelandclinic.org... Medical Management and Revascularization for Asymptomatic Carotid Stenosis (CREST-2) https://www.nejm.org/doi/full/10.1056... Transcranial Duplex Evaluation of Internal Carotid Artery Flow Direction during Transcarotid Artery Revascularisation with Integrated Embolic Protection https://www.ejves.com/article/S1078-5... --- BackTable Cardiology is the go-to podcast for interventional cardiologists, cardiac surgeons, and other healthcare professionals that manage cardiovascular conditions. Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty. ► https://www.backtable.com/app #CV42 #carotidarterystenting #carotiddisease #interventionalcardiology