Key result
Carotid endarterectomy remains the standard of care for extracranial carotid stenosis except in specific clinical scenarios, while the role of stenting continues to be investigated.
Why the study?
Does carotid artery stenting compared to carotid endarterectomy prevent strokes in patients with carotid stenosis?
Does carotid artery stenting compared to carotid endarterectomy prevent strokes in patients with carotid stenosis?
Carotid endarterectomy remains the standard of care for extracranial carotid stenosis, though carotid stenting is being investigated for specific scenarios including acute stroke.
Endarterectomy should remain first-line outside trials; leaves open stenting's role pending randomized data.
PURPOSE OF REVIEW: To summarize the randomized trial data comparing carotid endarterectomy with carotid artery stenting and describe ischemic visual symptoms and their presentation to ophthalmologists. RECENT FINDINGS: Carotid stenosis, symptomatic and asymptomatic, is prevalent and is a significant cause of stroke. Timely evaluation and intervention are important in stroke prevention. SUMMARY: Carotid endarterectomy remains the standard of care for extracranial carotid stenosis except in specific clinical scenarios. Ongoing and future trials will clarify the role of revascularization methods. The role of carotid artery stenting in acute stroke, including its use in the intracranial circulation, is being investigated. Ophthalmologists should be familiar with ischemic risk factor assessment, appropriate and timely referral for imaging and evaluation and initiation of antiplatelet therapy.
No takes yet. Share an insight, caveat, or question.
Scott Uretsky (2008) conducted a review in Carotid stenosis. Carotid endarterectomy and carotid artery stenting was evaluated. Carotid endarterectomy remains the standard of care for extracranial carotid stenosis except in specific clinical scenarios, while the role of stenting continues to be investigated.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: