Key result
Carotid artery stenting carries more periprocedural complications than endarterectomy despite being less invasive.
Why the study?
Risk factors for periprocedural complications of carotid artery stenting have not been extensively studied, impacting individualized treatment decisions.
Carotid artery stenting is a less invasive alternative to endarterectomy but is associated with more periprocedural complications, highlighting the need to better understand patient-specific risk factors.
Stenting carries higher periprocedural risk; leaves open optimal pharmacotherapy strategies in carotid stenosis.
Stroke is one of the most frequent causes of death and permanent disability among adults. The majority of ischemic strokes are due to atherosclerotic plaque in the internal carotid artery. Carotid endarterectomy is more effective than medical management in the prevention of stroke in patients with carotid artery stenosis. Carotid artery stenting, a less invasive revascularization strategy than endarterectomy, is also wide-spread but it is associated with more periprocedural complications. Knowledge of risk factors of these complications may impact treatment decisions for the individual patient, but these factors have not been extensively studied.
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Tvorogova et al. (2017) conducted a review in Carotid artery stenosis. Carotid artery stenting vs. Carotid endarterectomy was evaluated. Carotid artery stenting is a less invasive revascularization strategy than endarterectomy for carotid artery stenosis, but it is associated with more periprocedural complications.
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