The evidence for carotid stenting versus carotid endarterectomy in symptomatic patients.

Abstract:

:Large randomized trials have demonstrated the value of surgical intervention for symptomatic carotid artery disease in stroke prevention. More recently trials have also demonstrated benefit in asymptomatic patients. However, the benefit of surgery comes with significant burden in terms of a risk of both stroke at the time of procedure and other complications. Less invasive endovascular techniques might reduce this complication rate whilst proving as effective as surgery. At the time of writing conclusive evidence is still being sought but a Cochrane meta-analysis has indicated that with the current knowledge based on randomised trials the neuro-embolic complication rate at 30 days is equivalent between the two therapies. Endovascular techniques have fewer non-neuroembolic complications.

journal_name

Eur J Radiol

authors

Gaines PA

doi

10.1016/j.ejrad.2006.05.022

subject

Has Abstract

pub_date

2006-10-01 00:00:00

pages

8-10

issue

1

eissn

0720-048X

issn

1872-7727

pii

S0720-048X(06)00240-3

journal_volume

60

pub_type

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