Review: Endovascular treatment and carotid endarterectomy do not differ for carotid stenosis

Brass, Lawrence M.
September 2005
ACP Journal Club;Sep/Oct2005, Vol. 143 Issue 2, p35
Academic Journal
The article presents an answer to a clinical question related to the risks and benefits of endovascular treatment compared with carotid endarterectomy in patients with carotid stenosis. Quality of individual studies was assessed for method of randomization, allocation concealment, intention-to-treat analysis, blinded outcome assessment and follow-up. In patients with carotid stenosis, no difference exists in risks or benefits between endovascular treatment and carotid endarterectomy. Endovascular therapy for carotid stenosis has great appeal. It is less invasive than carotid endarterectomy, has lower rates of cranial nerve injury, and may even be less expensive.


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