Carotid Stenting versus Endarterectomy: The Evidence is Evident. Or is it?

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carotid artery stenting, endarterectomy, or medical treatment alone: the debate is not over

the management of carotid artery stenosis reduces the risk of stroke and its related deaths.   management options include risk factor modification and medical therapy, carotid endarterectomy (cea), and carotid artery stenting (cas). although several randomized controlled trials (rcts), mostly conducted in late-1980s and mid-1990s, have proved cea to be effective in the prevention of ipsilateral...

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The Carotid Revascularization Endarterectomy versus Stenting Trial (CREST): stenting versus carotid endarterectomy for carotid disease.

BACKGROUND AND PURPOSE Carotid artery stenosis causes up to 10% of all ischemic strokes. Carotid endarterectomy (CEA) was introduced as a treatment to prevent stroke in the early 1950s. Carotid stenting (CAS) was introduced as a treatment to prevent stroke in 1994. METHODS The Carotid Revascularization Endarterectomy versus Stenting Trial (CREST) is a randomized trial with blinded end point a...

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Carotid stenting versus carotid endarterectomy: evidence basis and cost implications.

OBJECTIVE Carotid Angioplasty combined with Stenting (CAS) is increasingly performed because of its presumed benefits. A study was performed to identify key factors that determine the cost-effectiveness as compared to conventional carotid endarterectomy (CEA). METHODS The incremental cost-effectiveness of CAS over CEA for different scenarios was estimated using a modeling approach. Treatment ...

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Stenting Versus Carotid Endarterectomy for Carotid Disease

Background and Purpose—Carotid artery stenosis causes up to 10% of all ischemic strokes. Carotid endarterectomy (CEA) was introduced as a treatment to prevent stroke in the early 1950s. Carotid stenting (CAS) was introduced as a treatment to prevent stroke in 1994. Methods—The Carotid Revascularization Endarterectomy versus Stenting Trial (CREST) is a randomized trial with blinded end point adj...

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Stroke prevention: carotid stenting versus carotid endarterectomy

Revascularization of the extracranial carotid arteries is a commonly performed surgical procedure to prevent stroke. Open surgery (i.e., carotid endarterectomy [CEA]) is a well-established stroke prevention procedure but is being 'challenged' by a less invasive percutaneous procedure (i.e., carotid artery stent [CAS] placement). Clinical trials comparing CAS and CEA for average-surgical-risk pa...

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ژورنال

عنوان ژورنال: European Journal of Vascular and Endovascular Surgery

سال: 2019

ISSN: 1078-5884

DOI: 10.1016/j.ejvs.2019.07.003