Document Detail

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:  MEDLINE    
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.
Kosmas I Paraskevas; Frank J Veith; Thomas S Riles; Wesley S Moore
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of vascular surgery     Volume:  54     ISSN:  1097-6809     ISO Abbreviation:  J. Vasc. Surg.     Publication Date:  2011 Aug 
Date Detail:
Created Date:  2011-08-08     Completed Date:  2011-10-24     Revised Date:  2014-07-30    
Medline Journal Info:
Nlm Unique ID:  8407742     Medline TA:  J Vasc Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  541-3; discussion 543     Citation Subset:  IM    
Copyright Information:
Copyright © 2011 Society for Vascular Surgery. All rights reserved.
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MeSH Terms
American Heart Association
Angioplasty / adverse effects,  instrumentation*,  mortality
Carotid Stenosis / complications,  mortality,  surgery,  therapy*
Endarterectomy, Carotid* / adverse effects,  mortality
Evidence-Based Medicine
Patient Selection
Practice Guidelines as Topic
Risk Assessment
Risk Factors
Stroke / etiology
Time Factors
Treatment Outcome
United States

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

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