Indication for Carotid Endarterectomy versus Carotid Stenting for the Prevention of Brain Embolization from Carotid Artery Plaques: In Search of Consensus

After 4657 patient-years of observation over a median 2.7 years of follow-up, the Asymptomatic Carotid Atherosclerosis Study (ACAS) estimated that the aggregate 5-year risk of ipsilateral stroke and any perioperative stroke or death was 5.1% for surgical patients and 11.0% for patients treated medic...

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Veröffentlicht in:	Journal of endovascular therapy 2006-10, Vol.13 (5), p.578-591
Hauptverfasser:	Biasi, Giorgio M., Froio, Alberto, Deleo, Gaetano, Lavitrano, Marialuisa
Format:	Artikel
Sprache:	eng
Schlagworte:	Blood Vessel Prosthesis Implantation Carotid Artery, Common - pathology Carotid Artery, Common - surgery Carotid Stenosis - complications Carotid Stenosis - drug therapy Carotid Stenosis - epidemiology Carotid Stenosis - surgery Clinical medicine Endarterectomy, Carotid Humans Intracranial Embolism - epidemiology Intracranial Embolism - etiology Intracranial Embolism - prevention & control Medical treatment Patients Randomized Controlled Trials as Topic Risk Factors Stents Stroke Stroke - prevention & control Surgery Vascular surgery Veins & arteries
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Zusammenfassung:	After 4657 patient-years of observation over a median 2.7 years of follow-up, the Asymptomatic Carotid Atherosclerosis Study (ACAS) estimated that the aggregate 5-year risk of ipsilateral stroke and any perioperative stroke or death was 5.1% for surgical patients and 11.0% for patients treated medically (aggregate risk reduction of 53%).2 The authors concluded that patients with asymptomatic carotid artery stenosis ≥60% who are good candidates for elective surgery will have a reduced 5-year risk of ipsilateral stroke if CEA is performed with
ISSN:	1526-6028 1545-1550
DOI:	10.1583/05-1726.1