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One of the major risk factors for stroke is narrowing (stenosis) of the carotid arteries, which run up both sides of the neck and supply oxygen-rich blood to the brain. For people with symptomatic carotid artery stenosis (for example, those who have had a transient ischemic attack [TIA] with symptoms in the same area as the narrowing seen on testing), surgery to remove the blockage should be considered. Options include endarterectomy or a newer procedure that positions a tiny wire mesh tube called a stent at the site of the blockage to keep the carotid artery open. I suggest that a patient with 70% blockage in a carotid artery and symptoms could be a good candidate for stenting, though the patient's overall health and risk factors must be evaluated. There are still a lot of unknowns when it comes to stenting versus endarterectomy.