Journal article

Carotid artery stenting: Current state of evidence and future directions

Anthony Lamanna, Julian Maingard, Christen D Barras, Hong Kuan Kok, Guy Handelman, Ronil V Chandra, Vincent Thijs, Duncan Mark Brooks, Hamed Asadi

ACTA NEUROLOGICA SCANDINAVICA | WILEY | Published : 2019

Abstract

Both carotid endarterectomy (CEA) and carotid artery stenting (CAS) are common treatments for carotid artery stenosis. Several randomized controlled trials (RCTs) have compared CEA to CAS in the treatment of carotid artery stenosis. These studies have suggested that CAS is more strongly associated with periprocedural stroke; however, CEA is more strongly associated with myocardial infarction. Published long-term outcomes report that CAS and CEA are similar. A reduction in complications associated with CAS has also been demonstrated over time. The symptomatic status of the patient and history of previous CEA or cervical radiotherapy are significant factors when deciding between CEA or CAS. Nu..

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