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October 23, 2025BMJ Surgery Interventions & Health TechnologiesOpen Access

Carotid endarterectomy versus stenting in patients with carotid artery stenosis and type 2 diabetes: a nationwide cohort study from the USA

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Authors

YFYuqing FanNPNan PengLJLili Jiang

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Overview

Retrospective cohort study reveals CEA improves in-hospital mortality in T2DM patients with carotid artery stenosis, indicating careful evaluation for asymptomatic individuals.

Key Points

  • CEA reduced in-hospital mortality in patients with type 2 diabetes mellitus compared to CAS.
  • In asymptomatic cases, CEA had 0.4% mortality versus 0.9% for CAS; myocardial infarction was higher in CEA.
  • Observational analysis across nationwide administrative hospitalizations of patients undergoing either CEA or CAS.
  • Findings suggest CEA is safer for symptomatic cases, but cardiovascular risks merit careful consideration for asymptomatic patients.

Cite This Study

Fan et al. (2025) studied this question.

synapsesocial.com/papers/68f9840c1881b68f3b7ae85ahttps://doi.org/10.1136/bmjsit-2025-000431
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