Carotid Artery Endarterectomy vs. Stenting - WVU School of Medicine
Carotid Artery Endarterectomy vs. Stenting - WVU School of Medicine
Carotid Artery Endarterectomy vs. Stenting - WVU School of Medicine
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Direct comparison <strong>of</strong> CEA <strong>vs</strong>. <strong>Stenting</strong>◦ WALLSTENT trial◦ N: 219 patients◦ <strong>Carotid</strong> arteries were60-90% occluded◦ Patients randomlyassigned to treatmentgroup◦ 1-yr follow-up:significantly higher rate<strong>of</strong> post-procedure strokewith angioplasty andstenting groupcompared to CEA group(12.2 <strong>vs</strong> 3.6%)◦ SAPPHIRE STUDY◦ N: 334 patients◦ Symptomatic carotidstenosis <strong>of</strong> ≥50% orasymptomatic stenosis<strong>of</strong> ≥80%◦ Looking for end point <strong>of</strong>major cardiovasculardisease within 1 year.◦ Result: majorcardiovascular diseasewas more common inCEA patients. Howeverrevascularization wasless necessary in CEApatients.
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