Key result
Carotid artery stenting is safe and effective in selected patients with symptomatic carotid bifurcation disease, although carotid endarterectomy remains the gold standard.
Why the study?
While carotid endarterectomy has long been the gold standard for symptomatic carotid bifurcation disease, recent trials show carotid artery stenting is safe and effective in selected patients.
This review highlights that while CEA remains the gold standard for carotid revascularization, CAS is a safe and effective alternative in selected patients.
Answers are grounded in this paper and cite their sources.
Supports carotid artery stenting as a viable alternative for carefully selected patients; leaves open the optimal criteria for.
Options for treatment of symptomatic carotid bifurcation disease include carotid endarterectomy (CEA) and carotid artery stenting (CAS). While over the years CEA has established itself as the gold standard for carotid artery revascularization, results from recent trials have shown CAS to be safe and effective in selected patients. This review details the evolution of carotid artery bifurcation disease by highlighting key clinical trials.
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Zohourian et al. (2022) conducted a review in symptomatic carotid bifurcation disease. Carotid artery stenting (CAS) vs. Carotid endarterectomy (CEA) was evaluated. Carotid artery stenting is safe and effective in selected patients with symptomatic carotid bifurcation disease, although carotid endarterectomy remains the gold standard.
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