| Is carotid artery stenting a fair alternative to carotid endarterectomy for symptomatic carotid artery stenosis? A commentary on the AHA/ASA guidelines. | |
| | |
MedLine Citation:
|
PMID: 21819926 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
|
The recent guidelines by the American Heart Association/American Stroke Association (AHA/ASA) and several other associations recommended carotid artery stenting (CAS) as an alternative to carotid endarterectomy (CEA) for symptomatic patients (Class I; Level of Evidence: B). The term "alternative" may easily be misinterpreted as "equivalent" to justify the widespread use of CAS. However, current evidence indicates that for symptomatic patients, CAS produces inferior outcomes compared with CEA. It is likely that with technical improvements, better patient selection, and better physician experience, CAS outcomes will improve in the future. CAS may then become a fair alternative to CEA, at least in certain patient subgroups. Based on current evidence, however, we are not there yet and it seems unfair to spin the AHA/ASA guidelines to conclude that we are. |
| | |
Authors:
|
Kosmas I Paraskevas; Frank J Veith; Thomas S Riles; Wesley S Moore |
Related Documents
:
|
19114206 - Endovascular treatment for acute traumatic transection of the descending aorta: focus o... 453036 - Congenital bilateral subclavian steal: ductus-dependent symptoms in interrupted aortic ... 19280256 - Second-generation amplatzer vascular plug (avp) for the treatment of subsequent subclav... 11305616 - A case of right-sided aortic arch with isolation of the left subclavian artery: ct find... 20857186 - Health behavior modification after electron beam computed tomography and physician cons... 869266 - Death due to gross vascular perforation by pulmonary carcinoma. |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Journal of vascular surgery : official publication, the Society for Vascular Surgery [and] International Society for Cardiovascular Surgery, North American Chapter Volume: 54 ISSN: 1097-6809 ISO Abbreviation: J. Vasc. Surg. Publication Date: 2011 Aug |
Date Detail:
|
Created Date: 2011-08-08 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 8407742 Medline TA: J Vasc Surg Country: United States |
Other Details:
|
Languages: eng Pagination: 541-3 Citation Subset: IM |
Copyright Information:
|
Copyright © 2011 Society for Vascular Surgery. All rights reserved. |
Affiliation:
|
Department of Vascular Surgery, Red Cross Hospital, Athens, Greece. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Association between polymorphisms of the renin angiotensin system and carotid stenosis.
Next Document: Role of interventions for atherosclerotic renal artery stenoses.