Why the study?
Does carotid endarterectomy or stenting reduce the risk of stroke in patients with extra cranial carotid artery stenosis?
Does carotid endarterectomy or stenting reduce the risk of stroke in patients with extra cranial carotid artery stenosis?
Carotid endarterectomy is highly effective for stroke prevention in symptomatic patients with severe carotid stenosis, but its use in asymptomatic patients requires careful selection and strict adherence to low perioperative complication thresholds.
Supports selective CEA in symptomatic high-grade stenosis; leaves open routine use in asymptomatic patients pending updated risk data.
Extra cranial carotid artery stenosis is an important cause of stroke, which often needs treatment with carotid revascularization. To prevent stroke recurrence, carotid endarterectomy (CEA) has been well-established for several decades for symptomatic high and moderate grade stenosis. Carotid stenting is a less invasive alternative to CEA and several recent trials have compared the efficacy of the 2 procedures in patients with carotid stenosis. Carotid artery stenting has emerged as a potential mode of therapy for high surgical risk patients with symptomatic high-grade stenosis. This review focuses on the current data available that will enable the clinician to decide optimal treatment strategies for patients with carotid stenosis.
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Rajamani et al. (2013) studied this question.
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