Document Detail


Are symptomatic patients appropriate candidates for carotid artery stenting? No (at least not at present).
MedLine Citation:
PMID:  20643026     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Most symptomatic patients should not be candidates for carotid artery stenting (CAS); at least not at present. In these patients, CAS is associated with higher stroke, as well as recurrent stenosis rates compared with carotid endarterectomy (CEA). Furthermore, CAS is considerably more expensive than CEA. These facts raise the question, why perform CAS in symptomatic patients when you have CEA, which is associated with lower stroke and recurrent stenosis rates, and is also a more cost-effective option. This article supports the theory that currently most symptomatic patients are not appropriate candidates for CAS.
Authors:
Kosmas I Paraskevas; Dimitri P Mikhailidis; Frank J Veith
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Vascular     Volume:  18     ISSN:  1708-5381     ISO Abbreviation:  Vascular     Publication Date:    2010 Jul-Aug
Date Detail:
Created Date:  2010-07-20     Completed Date:  2010-11-22     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101196722     Medline TA:  Vascular     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  185-8     Citation Subset:  IM    
Affiliation:
Department of Vascular Surgery, Red Cross Hospital, Athens, Greece.
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MeSH Terms
Descriptor/Qualifier:
Angioplasty / adverse effects,  economics,  instrumentation*
Carotid Stenosis / complications,  economics,  surgery,  therapy*
Cost-Benefit Analysis
Endarterectomy, Carotid* / adverse effects,  economics
Health Care Costs
Humans
Patient Selection*
Recurrence
Risk Assessment
Risk Factors
Stents*
Stroke / etiology,  prevention & control
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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