Recent Results for Carotid Artery Stenosis Complicated with Severe Aortic Valve Stenosis: TAVI and CEA, from the Examination of Our Institution

Q: What is the clinical evidence from this study?

Study design: Cohort. Population: Carotid artery stenosis with or without severe aortic valve stenosis (n=37). Intervention: Carotid endarterectomy in patients with severe aortic valve stenosis vs. Carotid endarterectomy in patients without severe aortic valve stenosis. Primary outcome: Modified Rankin Scale (mRS) score at discharge (p=1.00).

Q: What does this research mean for the field?

Carotid endarterectomy can be safely performed in patients with severe aortic valve stenosis being evaluated for transcatheter aortic valve implantation, yielding discharge modified Rankin Scale scores comparable to standard carotid endarterectomy patients. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

Reina KAWANAMI; Kana SAWADA; Tomoyuki KINO; Natsumi TAMADA; Kuniyasu Saigusa

doi:10.2335/scs.50.44

January 1, 2022Surgery for Cerebral StrokeOpen Access

Recent Results for Carotid Artery Stenosis Complicated with Severe Aortic Valve Stenosis: TAVI and CEA, from the Examination of Our Institution

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Study Design

Type

Cohort (n=37)

Multicenter

No

PICO

P

Population

37 patients who underwent carotid endarterectomy, including 5 with severe aortic valve stenosis evaluated for TAVI, retrospectively analyzed for perioperative outcomes.

E

Exposure / Comparator

Carotid endarterectomy in patients with severe aortic valve stenosis vs Carotid endarterectomy in patients without severe aortic valve stenosis

O

Primary Outcome

Modified Rankin Scale (mRS) score at discharge, p=1.00

Main Result

p-value: p=1.00

Limitations

Very small sample size in the severe aortic valve stenosis group (n=5).
Retrospective, single-center study design.
Lack of long-term follow-up data.

Abstract

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Discussion

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Cite This Study

KAWANAMI et al. (2022) conducted a cohort in Carotid artery stenosis with or without severe aortic valve stenosis (n=37). Carotid endarterectomy in patients with severe aortic valve stenosis vs. Carotid endarterectomy in patients without severe aortic valve stenosis was evaluated on Modified Rankin Scale (mRS) score at discharge (p=1.00).

synapsesocial.com/papers/6aaa465c561c8ccf3ff28735 https://doi.org/10.2335/scs.50.44

View Full Paper

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Recent Results for Carotid Artery Stenosis Complicated with Severe Aortic Valve Stenosis: TAVI and CEA, from the Examination of Our Institution

Study Design

PICO

Main Result

Limitations

Abstract

Discussion

Cite This Study

Recent Results for Carotid Artery Stenosis Complicated with Severe Aortic Valve Stenosis: TAVI and CEA, from the Examination of Our Institution

Study Design

PICO

Main Result

Limitations

Abstract

Discussion

Cite This Study

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