Document Detail

Carotid artery stenting 2008.
MedLine Citation:
PMID:  18607338     Owner:  NLM     Status:  MEDLINE    
In an effort to minimize interventions, in the last decade carotid artery stenting (CAS) has been suggested as an alternative to surgical carotid endarterectomy (CEA) for patients with symptomatic and asymptomatic extra cranial obstructive disease. CAS is relatively new compared to CEA and it should be acknowledged that CAS is an evolving technique. As technology has improved, procedural risks have declined and are approaching those reported for CEA. From the individual randomised clinical trial it can be concluded that in patients at high risk for CEA, CAS is an equivalent, maybe better alternative. In symptomatic patients at standard risk for CEA, CAS has not proven non-inferior, and is worse when performed by relatively inexperienced operators without embolic protection device compared to highly experienced CEA surgeons.
J Van Laanen; J M Hendriks; M R H M Van Sambeek
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Panminerva medica     Volume:  50     ISSN:  0031-0808     ISO Abbreviation:  Panminerva Med     Publication Date:  2008 Jun 
Date Detail:
Created Date:  2008-07-08     Completed Date:  2008-11-14     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0421110     Medline TA:  Panminerva Med     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  153-9     Citation Subset:  IM    
Department of Vascular Surgery, Erasmus University Medical Center, Rotterdam, The Netherlands.
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MeSH Terms
Angioplasty / statistics & numerical data,  trends*
Carotid Artery Diseases / epidemiology,  therapy*
Randomized Controlled Trials as Topic
Risk Factors
Stents / statistics & numerical data,  trends*

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