Does carotid artery stenting compared to carotid endarterectomy improve outcomes in symptomatic and asymptomatic patients?
Both CAS and CEA have complication rates within guideline thresholds, though CEA has lower periprocedural stroke and death rates in symptomatic patients.
There were no significant differences between CAS versus CEA by symptomatic status for the primary CREST end point. Periprocedural stroke and death rates were significantly lower for CEA in symptomatic patients. However, for both CAS and CEA, stroke and death rates were below or comparable to those of previous randomized trials and were within the complication thresholds suggested in current guidelines for both symptomatic and asymptomatic patients.
Silver et al. (Thu,) studied this question.
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