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Purpose: Recently, it has been proposed by Roubin and coworkers that a paradigm shift for patient selection and procedural technique is to be implemented for carotid stenting to reach its full potential in stroke prevention. An acceptable risk of periprocedural complications (3% or less) is the pivotal issue. As it has been demonstrated by Wennberg and coworkers that the mortality rate is higher in Medicare patients undergoing endarterectomy than in subjects enrolled in clinical trials, it could be inferred that any carotid revascularization procedure should be evaluated in real life clinical setting. Our results obtained in such setting are reported here. …