Key result
Carotid endarterectomy is superior to medical treatment in reducing the overall risk of stroke in symptomatic or asymptomatic patients, with a 5.8% perioperative death and stroke rate in NASCET.
Why the study?
Does carotid endarterectomy or stenting reduce the risk of stroke compared to medical treatment in patients with carotid artery stenosis?
Population
Patients with symptomatic or asymptomatic carotid artery stenosis
Comparison
Carotid artery stenting / Carotid endarterectomy vs Medical treatment
Design
Review
Authors
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CEA reduces stroke versus medical therapy in carotid stenosis; perioperative risks leave open safer stenting alternatives.
Does carotid endarterectomy or stenting reduce the risk of stroke compared to medical treatment in patients with carotid artery stenosis?
While carotid endarterectomy is the gold standard for reducing stroke risk in carotid occlusive disease, its perioperative complication rates underscore the need for alternative approaches like carotid artery stenting.
Francesco Liïstro (2003) conducted a review in Carotid artery stenosis. Carotid endarterectomy vs. Medical treatment was evaluated on Overall risk of stroke. Carotid endarterectomy is superior to medical treatment in reducing the overall risk of stroke in symptomatic or asymptomatic patients, with a 5.8% perioperative death and stroke rate in NASCET.
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