-Ｏｂｊｅｃｔｉｖｅ　We are aimed to investigate the effects of transcutaneous electrical acupoint stimulation(TEAS) and electro-acupuncture(EA) combined with local anesthesia on intraoperative anesthesia maintenance and post-operative recovery in carotid artery stenting (CAS) patients.　Methods　One hundred and twenty four cases of CAS were randomly assigned into EA group (group A), TEAS group (group T) and sham group (group C). The patients in group A received EA at acupoints of Shuigou, Baihui, Hegu and Waiguan at the same side of the stenting before 30 min of operation. The patients in group T received TEAS at the same acupoints through self-adhesive skin electrodes. In group T and group A, stimulations were continued until the end of the operation. The patients in group C were not received EA or TEAS. Blood pressure and heart rates were maintained at 80%~110% of baseline level. We observed the change of BP and the use of vasoactive drugs during three groups. Post-operative pain scores (VAS) and the recovery condition after operation were analyzed in three groups.　Results　The average use of nimodipine was significantly less in group A and group T (P<0.05). After 1 day of operation, the occurrence rate of pain is less during group A and group T (P<0.05). However, there were no statistically significant in the in incidence of postoperative nausea and vomiting (PONV) (P>0.05).　Conclusions　Acupuncture anesthesia could provide a more stable hemodynamics, stronger analgesia effect, higher anesthesia satisfaction compared with single local anesthesia. Both TEAS and EA combined with local anesthesia could be a worthwhile anesthesia method in CAS patients.