Kim J, et al. - Through a retrospective database review conducted from January 2010 to December 2018 on 45 subjects who underwent carotid endarterectomy or carotid artery stenting for symptomatic internal carotid artery (ICA) near-occlusion (severe stenosis of the internal carotid artery with partial or full collapse of the distal vessel wall) and had 1-month clinical and imaging follow-up with carotid sonography, the experts assessed the safety of carotid endarterectomy and carotid artery stenting in ICA-near-occlusion. out of 45, 39 were recruited in the study. Twenty-five underwent carotid endarterectomy and 14 underwent carotid artery stenting. Every patient had technically victorious immediate revascularization of the ICA. Subjects with carotid artery stenting had 20% and 79% restenosis and vessel maturation rates, respectively, whereas individuals with carotid endarterectomy had 17.4% and 84% restenosis and vessel maturation, respectively. No meaningful variation in periprocedural complication rates among the 2 procedures was observed. Hence, in comparison with carotid endarterectomy for ICA near-occlusion, similar results were exhibited by carotid artery stenting in restenosis and vessel maturation rates. However, no major variation among the 2 treatments in clinical outcomes or periprocedural complications were seen. Moreover, for carotid near-occlusion, carotid artery stenting was a revascularization option if the subject was regarded at high risk for carotid endarterectomy.