Cerebral vascular intervention after carotid endarterectomy has seen a tremendous increase in popularity as physicians worldwide realize the benefits of carotid stenting. Texas Heart Institute (THI) has amassed more than 500 successful procedures and has established a protocol for performing carotid stenting as well as credentialing procedures for physicians desiring to perform cerebral vascular interventions. Dr. Strickman discusses the benefits and challenges of carotid stenting while presenting several case studies and relevant research statistics compiled at THI.