Back to Search
Start Over
Carotid Endarterectomy is Superior to Carotid Angioplasty and Stenting for Perioperative and Long-Term Results.
- Source :
-
Vascular & Endovascular Surgery . Aug2011, Vol. 45 Issue 6, p490-498. 9p. - Publication Year :
- 2011
-
Abstract
- Objective: Carotid angioplasty and stenting (CAS) has challenged carotid endarterectomy (CEA) as the therapy of choice for carotid disease. This meta-analysis aims at summarizing the most current body of evidence. Methods: All prospective, controlled clinical trials comparing CEA versus CAS were included. The outcome measures of interest were relative risk (RR) of 30-day stroke, 30-day stroke/death, long-term risk of stroke, and risk of restenosis. Results: The RR of 30-day stroke for CAS was 1.6 times that of CEA (RR 1.6; 95%CI 1.2-2.0, P = .001). The 30-day RR of stroke/death was 1.5 times higher for CAS (RR 1.5; 95%CI 1.1-2.1, P = .008). There was a higher risk of long-term stroke (RR 1.2; 95%CI 1.0-1.5, P = .043). The risk of restenosis was twice for CAS (RR 1.8; 95%CI 1.1-3.1, P = .04). Conclusion: The 30-day RR of stroke, stroke/death, long-term risk of stroke, and risk of restenosis are consistently higher for carotid artery stenting (CAS). [ABSTRACT FROM PUBLISHER]
- Subjects :
- *ANALYSIS of variance
*ANGIOPLASTY
*CAROTID artery diseases
*CAROTID artery surgery
*CLINICAL trials
*COMPUTER software
*CONFIDENCE intervals
*ENDARTERECTOMY
*INFORMATION storage & retrieval systems
*MEDICAL databases
*MEDICAL information storage & retrieval systems
*LONGITUDINAL method
*MEDLINE
*META-analysis
*ONLINE information services
*HEALTH outcome assessment
*SURGICAL stents
*SURGICAL complications
*SYSTEMATIC reviews
*DATA analysis
*RELATIVE medical risk
*TREATMENT effectiveness
Subjects
Details
- Language :
- English
- ISSN :
- 15385744
- Volume :
- 45
- Issue :
- 6
- Database :
- Academic Search Index
- Journal :
- Vascular & Endovascular Surgery
- Publication Type :
- Academic Journal
- Accession number :
- 64345497
- Full Text :
- https://doi.org/10.1177/1538574411407083