| Do we need a new carotid artery stenting trial? | |
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MedLine Citation:
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PMID: 20919666 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Four well-conducted carotid artery trials comparing carotid artery stenting with carotid artery endarterectomy (EVA-3S, SPACE, ICSS and CREST) could not demonstrate the superiority of carotid artery stenting (CAS) over carotid artery endarterectomy (CEA). There is at the moment no level-I evidence to support widespread use of endovascular management of carotid artery disease in routine practice. In order to shead some light on the continuing debate on the role of carotid artery stenting, the authors conducted a search in contemporary published literature concerning carotid artery stenting. This extensive literature review reveals a higher peri-procedural stroke-death rate after CAS and a higher cost. Two other events hamper the value of CAS: a higher late restenosis rate and a higher risk of micro-embolisation during the procedure, compared with CEA. The authors conclude that the prevailing overenthusiasm of interventionalists (vascular surgeons, radiologists, cardiologists) for carotid artery stenting is not justified. |
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Authors:
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H Van Damme; J O Defraigne |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Acta chirurgica Belgica Volume: 110 ISSN: 0001-5458 ISO Abbreviation: Acta Chir. Belg. Publication Date: 2010 Jul-Aug |
Date Detail:
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Created Date: 2010-10-05 Completed Date: 2010-10-22 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0370571 Medline TA: Acta Chir Belg Country: Belgium |
Other Details:
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Languages: eng Pagination: 432-44 Citation Subset: IM |
Affiliation:
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Department of cardiovascular and thoracic surgery, University Hospital Sart Tilman, Liège, Belgium. hvandamme@chu.ulg.ac.be |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Angioplasty, Balloon*
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adverse effects Carotid Stenosis / surgery, therapy* Embolism Endarterectomy, Carotid* / adverse effects Humans Randomized Controlled Trials as Topic Risk Assessment Stroke / epidemiology Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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