Impact of heart failure on the in-hospital outcomes after carotid artery stenting and carotid endarterectomy

Q: What are the key findings of this study?

Heart failure in patients undergoing carotid revascularization was a significant determinant of perioperative outcomes and resource utilization (P<0.001).

Q: What is the clinical evidence from this study?

Study design: Observational. Population: Carotid artery stenosis. Intervention: Heart failure vs. No heart failure. Primary outcome: In-hospital mortality, cerebral infarction, hemorrhage, discharge disposition, length of stay, and hospitalization cost (p=< 0.001).

Q: What does this research mean for the field?

Heart failure is a significant determinant of worse perioperative outcomes and higher resource utilization in patients undergoing carotid revascularization. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

Q: What question did this study set out to answer?

This study aims to assess the in-hospital outcomes of patients with heart failure undergoing carotid revascularization procedures.

Mohammad AlKhateeb; Hatem Tolba; Ahmed Hassan; Khalid Tolba; Mohamed H. Mady; Sinan Tatli; Syed Gillani; Camilo R. Gomez; Chun Shing Kwok; Adnan I. Qureshi

doi:10.1080/01616412.2026.2676867

May 21, 2026Neurological Research

Impact of heart failure on the in-hospital outcomes after carotid artery stenting and carotid endarterectomy

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Key result

HF is linked to worse perioperative outcomes and higher resource utilization during carotid revascularization.

P<0.001

Why the study?

The study evaluated in-hospital outcomes among patients with heart failure undergoing carotid revascularization.

Does the presence of heart failure worsen in-hospital outcomes in patients undergoing carotid revascularization?

Key Points

This study aims to assess the in-hospital outcomes of patients with heart failure undergoing carotid revascularization procedures.
Used data from the National Inpatient Sample (2016-2022) to identify patients with carotid artery stenosis undergoing CAS or CEA.
Compared in-hospital outcomes based on heart failure status, including mortality and resource utilization.
Heart failure was present in one of seven patients, significantly impacting hospital outcomes.
Combined systolic-diastolic heart failure associated with longer hospital stays and increased healthcare costs.

Study Design

Type

Observational

Multicenter

Yes

Structured PICO

Does the presence of heart failure worsen in-hospital outcomes in patients undergoing carotid revascularization?

P

Population

Patients with carotid artery stenosis undergoing carotid artery stenting (CAS) or carotid endarterectomy (CEA) from the National Inpatient Sample (2016-2022).

I

Intervention

Presence of heart failure

C

Comparator

Absence of heart failure

O

Outcome

In-hospital mortality, cerebral infarction, hemorrhage, discharge disposition, length of stay, and hospitalization costhard clinical

Main Result

p-value: p=< 0.001

Heart failure is a significant predictor of adverse perioperative outcomes and increased resource utilization in patients undergoing carotid revascularization.

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Implication

HF was associated with higher in-hospital mortality after carotid revascularization; leaves open optimal CAS versus CEA selection in this population.

Abstract

OBJECTIVES: We evaluated in-hospital outcomes among patients with heart failure (HF) undergoing carotid revascularization. METHODS: Using the National Inpatient Sample (2016-2022), we identified patients with carotid artery stenosis who underwent carotid artery stenting (CAS) or carotid endarterectomy (CEA). Based on HF status, we compared in-hospital mortality, cerebral infarction, hemorrhage, discharge disposition, length of stay, and hospitalization cost. CONCLUSION: HF was present in one of seven patients undergoing carotid revascularization and remains a significant determinant of perioperative outcomes and resource utilization. Combined systolic-diastolic HF was associated with longer hospital stay and higher resource utilization.

Discussion

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Cite This Study

AlKhateeb et al. (2026) conducted an observational in Carotid artery stenosis. Heart failure vs. No heart failure was evaluated on In-hospital mortality, cerebral infarction, hemorrhage, discharge disposition, length of stay, and hospitalization cost (p=< 0.001). Heart failure in patients undergoing carotid revascularization was a significant determinant of perioperative outcomes and resource utilization (P<0.001).

synapsesocial.com/papers/6a1093d542b7486443ff1e6b https://doi.org/10.1080/01616412.2026.2676867

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Impact of heart failure on the in-hospital outcomes after carotid artery stenting and carotid endarterectomy

Key Points

Study Design

Structured PICO

Main Result

Ask about this paper

Implication

Abstract

Discussion

Cite This Study

Impact of heart failure on the in-hospital outcomes after carotid artery stenting and carotid endarterectomy

Key Points

Study Design

Structured PICO

Main Result

Ask about this paper

Implication

Abstract

Discussion

Cite This Study

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