Key result
Carotid endarterectomy and carotid-artery stenting showed no difference in the rate of late ipsilateral stroke after the perioperative period in asymptomatic patients.
Why the study?
Does carotid endarterectomy or stenting reduce late ipsilateral stroke in patients with asymptomatic carotid-artery stenosis?
Does carotid endarterectomy or stenting reduce late ipsilateral stroke in patients with asymptomatic carotid-artery stenosis?
In asymptomatic carotid-artery stenosis, late ipsilateral stroke rates are similar between carotid endarterectomy and stenting after the perioperative period.
Important data from two large, randomized trials comparing early and late outcomes after carotid endarterectomy and carotid-artery stenting have now been published in the Journal.1,2 In common with every other large, multicenter, randomized trial to date, the Asymptomatic Carotid Trial (ACT I) and the Carotid Revascularization Endarterectomy versus Stenting Trial (CREST) showed that after the perioperative period, there was no difference in the rate of late ipsilateral stroke after endarterectomy or stenting. In ACT I, which included asymptomatic patients who were deemed to be at average risk, the 5-year rate of ipsilateral stroke (excluding the perioperative period) was . . .
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Spence et al. (2016) conducted an editorial in Asymptomatic Carotid-Artery Stenosis. Carotid endarterectomy and carotid-artery stenting vs. Each other was evaluated on Late ipsilateral stroke (excluding the perioperative period). Carotid endarterectomy and carotid-artery stenting showed no difference in the rate of late ipsilateral stroke after the perioperative period in asymptomatic patients.
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