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Mastering Endovascular Techniques Chapter 26 Technique and Complications of Transfemoral Carotid Stenting This video provides an overview of transfemoral carotid artery stenting (CAS), a specialised endovascular procedure used to prevent strokes by reopening narrowed neck arteries. The text establishes a clear clinical framework by comparing CAS to the traditional surgical alternative, carotid endarterectomy (CEA), noting that while surgery remains the standard, stenting is a viable option for younger patients or those with specific surgical risks. Centered on a detailed technical walkthrough, the authors describe the meticulous process of accessing the artery through the groin, deploying embolic protection devices to catch debris, and precisely placing self-expanding stents. Beyond the procedure itself, the text emphasises complication management, identifying anatomical hurdles like vessel tortuosity and serious post-operative risks such as cerebral hyperperfusion syndrome. Ultimately, the source serves as a practical guide for clinicians to improve patient outcomes through careful case selection and refined technical expertise.