The abstract emphasizes the need for more stringent criteria for carotid artery stenosis interventions due to advancements in comprehensive medical treatments. These treatments include intensive management of atherosclerosis risk factors and lifestyle modifications. It highlights the importance of evaluating high-risk factors like vulnerable plaques, severe calcification, pseudo-occlusion, and difficult access before proceeding with carotid artery stenting. The key takeaway is the necessity to understand the specific characteristics of each device used in endovascular interventions to minimize risks effectively. This information is crucial for improving patient outcomes by tailoring interventions to individual risk profiles, marking a significant contribution to the literature on managing carotid artery stenosis.