{"podcast":{"title":"GPnotebook Podcast","slug":"gpnotebook-podcast-252935","podcast_index_feed_id":252935,"rss_url":"https://feeds.blubrry.com/feeds/gpnotebook.xml","website_url":"https://gpnotebook.com/podcast","image_url":"https://assets.blubrry.com/coverart/orig/883699-988074.jpg","author":"GPnotebook","episode_count":225,"summary":"A bite-sized, regular chat for all healthcare professionals working in primary care. Episodes cover clinical tips and hot topics. New episodes published every Thursday or Friday.","last_synced_at":"2026-09-24T20:21:40.942563+00:00","page_url":"https://stenobird.com/podcast/gpnotebook-podcast-252935"},"episode":{"title":"Ep 225 – Carotid artery stenosis","slug":"ep-225-carotid-artery-stenosis","published_at":"2026-09-24T09:57:53+00:00","page_url":"https://stenobird.com/podcast/gpnotebook-podcast-252935/ep-225-carotid-artery-stenosis","show_page_url":"https://stenobird.com/podcast/gpnotebook-podcast-252935","url":"https://gpnotebook.com/en-GB/podcasts/cardiovascular-medicine/ep-225-carotid-artery-stenosis","audio_url":"https://media.blubrry.com/gpnotebook/ins.blubrry.com/gpnotebook/GPnotebook-2026-149-Ep-225.mp3","summary":"In this episode, Dr Roger Henderson explores carotid artery stenosis and its role in the prevention of ischaemic stroke. Carotid disease is common, but managing it effectively is far from straightforward. The key clinical questions are not simply how narrow the artery is, but whether the stenosis is responsible for the patient's neurological symptoms, what mechanism is causing cerebral ischaemia, and whether revascularisation offers greater benefit than modern medical therapy. The episode explores the differences between symptomatic and asymptomatic carotid stenosis, the evidence supporting carotid endarterectomy, the importance of timing after transient ischaemic attack or stroke, and the evolving role of carotid stenting. It also considers plaque vulnerability, contemporary medical therapy and how these factors influence decisions about intervention in everyday clinical practice. Access episode show notes containing key references and take-home points at: https://gpnotebook.com/en-GB/podcasts/cardiovascular-medicine/ep-225-carotid-artery-stenosis Did you know? With GPnotebook Pro, you can earn CPD credits by tracking the podcast episodes you listen to. Learn more .","meta_description":"In this episode, Dr Roger Henderson explores carotid artery stenosis and its role in the prevention of ischaemic stroke. Carotid disease is common, but ma…","key_points":[],"chapters":[],"topics":[],"duration_seconds":998,"processing_state":"not_requested","actions":[{"name":"request_transcript","method":"POST","url":"https://stenobird.com/v1/public/podcasts/gpnotebook-podcast-252935/episodes/ep-225-carotid-artery-stenosis/transcription-requests","description":"Idempotently request low-priority transcript generation for this episode."},{"name":"read_markdown","method":"GET","url":"https://stenobird.com/podcast/gpnotebook-podcast-252935/ep-225-carotid-artery-stenosis.md","description":"Read the agent-friendly Markdown representation of this episode resource."}]}}