Why the study?
The study was conducted to evaluate perioperative and long-term outcomes in patients undergoing carotid endarterectomy or stenting for symptomatic or asymptomatic high-grade restenosis of the internal carotid artery.
Does carotid endarterectomy or stenting provide better perioperative and long-term outcomes in patients with recurrent carotid artery stenosis?
Population
111 patients with recurrent internal carotid artery stenosis
Comparison
Carotid endarterectomy (CEA) vs carotid artery stenting (CAS)
Design
Retrospective single-centre case series
Follow-up
8 years
Key result
Carotid endarterectomy and carotid artery stenting yielded similar 8-year stroke-free survival rates (98% vs 100%, P=0.271) for the treatment of recurrent carotid artery stenosis.
Authors
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Both CEA and CAS for carotid restenosis show low periprocedural risk and high stroke-free survival; leaves open optimal strategy in prospective studies.
Observational (n=111)
No
Does carotid endarterectomy or stenting provide better perioperative and long-term outcomes in patients with recurrent carotid artery stenosis?
Absolute Event Rate: 98% vs 100%
p-value: p=0.271
Redo-CEA and CAS for recurrent carotid artery stenosis demonstrate favorable periprocedural and long-term outcomes with no significant difference in stroke-free survival between the two approaches.
Ahmad et al. (2019) conducted an observational in Recurrent carotid artery stenosis (n=111). Carotid endarterectomy (CEA) vs. Carotid artery stenting (CAS) was evaluated on Stroke-free survival at 8 years (p=0.271). Carotid endarterectomy and carotid artery stenting yielded similar 8-year stroke-free survival rates (98% vs 100%, P=0.271) for the treatment of recurrent carotid artery stenosis.
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