Age differential between outcomes of carotid angioplasty and stent placement and carotid endarterectomy in general practice

Age differential between outcomes of carotid angioplasty and stent placement and carotid endarterectomy in general practice

Background Data derived from prospective randomized clinical trials suggest differential comparative benefit between carotid angioplasty and stent (CAS) placement and carotid endarterectomy (CEA) in various age strata. We sought to investigate the impact of age on outcomes of CAS and CEA in general...

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Veröffentlicht in:Journal of vascular surgery 2012-01, Vol.55 (1), p.72-78
Hauptverfasser: Khatri, Rakesh, MD, Chaudhry, Saqib A., MD, Vazquez, Gabriela, PhD, Rodriguez, Gustavo J., MD, Hassan, Ameer E., DO, Suri, M. Fareed K., MD, Qureshi, Adnan I., MD
Format: Artikel
Sprache:eng
Schlagworte:
Age Factors
Aged
Angioplasty - adverse effects
Angioplasty - instrumentation
Angioplasty - mortality
Biological and medical sciences
Carotid Artery Diseases - mortality
Carotid Artery Diseases - surgery
Carotid Artery Diseases - therapy
Chi-Square Distribution
Databases as Topic
Endarterectomy, Carotid - adverse effects
Endarterectomy, Carotid - mortality
Female
General Practice - statistics & numerical data
Heart Diseases - etiology
Humans
Logistic Models
Male
Medical sciences
Middle Aged
Neurology
Odds Ratio
Patient Selection
Risk Assessment
Risk Factors
Stents
Stroke - etiology
Surgery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Time Factors
Treatment Outcome
United States
Vascular diseases and vascular malformations of the nervous system
Vascular surgery: aorta, extremities, vena cava. Surgery of the lymphatic vessels
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Zusammenfassung:Background Data derived from prospective randomized clinical trials suggest differential comparative benefit between carotid angioplasty and stent (CAS) placement and carotid endarterectomy (CEA) in various age strata. We sought to investigate the impact of age on outcomes of CAS and CEA in general practice. Methods We analyzed the data from the Nationwide Inpatient Sample (NIS), which is representative of all admissions in the United States from 2005 to 2008. The primary end point was occurrence of stroke, cardiac complications, or death during the postprocedural period. Outcomes of interest were compared between patients aged ≥70 years and
ISSN:0741-5214
1097-6809
DOI:10.1016/j.jvs.2011.08.007