One swallow does not a summer make but many swallows do: accumulating clinical evidence for nearly-eliminated peri-procedural and 30-day complications with mesh-covered stents transforms the carotid revascularisation field.

Evidence is accumulating today for an adequate answer from the endovascular community (with a highly significant impact from endovascular-minded surgical colleagues and centres [ 5 , 6 , 63 ]) to the surgical postulate of improved carotid stent designs [ 68 , 69 ] (to minimise intra-procedural embolism and prevent post-procedural embolisation [ 60 ]) and wider acceptance of more effective embolic protection such as proximal protection devices for higher (embolic)-risk patients in particular [ 6 , 34 , 36 , 66 ].

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