Why the study?
Does carotid artery stenting reduce the risk of periprocedural myocardial infarction compared to carotid endarterectomy, and how do these ischemic events impact long-term mortality?
Population
2,502 patients undergoing carotid revascularization in the Carotid Revascularization Endarterectomy Versus…
Comparison
Carotid artery stenting vs Carotid endarterectomy
Design
RCT, Randomized to carotid endarterectomy versus carotid artery stenting
Follow-up
4 years
Authors
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Stenting reduces periprocedural MI versus endarterectomy; confirms independent link between periprocedural ischemia and 4-year mortality.
Does carotid artery stenting reduce the risk of periprocedural myocardial infarction compared to carotid endarterectomy, and how do these ischemic events impact long-term mortality?
Carotid endarterectomy is associated with a higher risk of periprocedural myocardial infarction and isolated biomarker elevation compared to carotid stenting, both of which independently increase the risk of long-term mortality.
Blackshear et al. (2011) studied this question.
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