A retrospective review of the Vascular Quality Initiative database was performed from 2005 to 2020. Of 1433 patients with atherosclerotic tandem lesions in internal carotid artery (ICA) and proximal common (CCA) or innominate artery, 795 (55%) had undergone antegrade transfemoral stenting ICA lesion 638 (45%) hybrid interventions consisting endarterectomy (CEA) retrograde endovascular stenting....