Abstract: Objective：To summarize and optimize the reasonable surgical strategies for the common carotid or innominate artery stenosis. Methods：Eleven patients with common carotid or innominate artery stenosis treated in the Zhongshan Hospital, Fudan university from August 2014 to August 2018 were retrospectively analyzed. The types of carotid stenosis were analyzed. Different surgery strategies were adopted according to the body state and carotid anatomy, including carotid endarterectomy (CEA), carotid angioplasty stenting (CAS), and the hybrid procedure of the two methods. The characteristics and effects of different surgery strategies were analyzed. Results：Among the 11 patients, 3 patients were type Ⅰ, 5 were type Ⅱa, 1 was type Ⅱb, and 2 were type Ⅲ. Four patients (36.4%) only underwent CEA, including 2 patients with type Ⅰ and 2 patients with type Ⅱa . Five patients (45.5%) only underwent CAS, including 1 patients with type Ⅰ, 3 patients with type Ⅱa, and 1 with type Ⅱb. Two patients (18.2%) with type Ⅲ underwent combined strategies. A major stroke developed after CAS in 2 patients (18.2%). The mean follow-up time was (7.8 ± 14.1) months, and during the follow-up period, there was no extracranial carotid artery related neurological complications or reintervention. Conclusions：Carotid stenosis involving the common carotid or the innominate artery could get acceptable outcomes with the reasonable strategies. When CAS is selected, the risk of cerebral infarction should be paid high attention to.