Carotid Endarterectomy and Carotid Artery Stenting for the Prevention of Ischemic Strokes

Sinclair, Heather Q.
March 2010
MD Conference Express;Mar2010, p11
Academic Journal
The article presents a study which evaluates the Carotid Revascularization Endarterectomy versus Stenting Trial (CREST) among patients who have diagnosed with symptomatic and asymptomatic stenosis. The study employs angiography, ultrasonography, and computed tomography or magnetic resonance angiography (CTA/MRA) to determine the presence of both carotid stenosis. Results of the study reveal an increased efficacy of CAS in patients aged above 70 years old as compared to CEA in patients aged 70 years old or below. However, significant difference in terms of results at the periprocedural composite of both myocardial infarction and stroke does not show substantial impact. It adds that further data are required to examine the long-term risks of CAS.


Related Articles

  • Carotid Stenting Versus Surgery for Stroke Prevention. Abma, Rebecca K. // Neurology Reviews;Apr2010, Vol. 18 Issue 4, p1 

    The article presents the Carotid Revascularization Endarterectomy versus Stenting Trial (CREST) which looks into to the effectivity of the two procedures towards treating carotid artery stenosis and preventing stroke. It reveals that patients older than 70 years old had better outcomes with...

  • Carotid Endarterectomy Versus Stenting: A Meta-Analysis of Randomized Trials. Yavin, Daniel; Roberts, Derek J.; Tso, Michael; Sutherland, Garnette R.; Eliasziw, Misha; Wong, John H. // Canadian Journal of Neurological Sciences;Mar2011, Vol. 38 Issue 2, p230 

    Background: A meta-analysis of randomized controlled trials (RCTs) was conducted to update the available evidence on the safety and efficacy of carotid endarterectomy (CEA) versus carotid artery stenting (CAS) in the treatment of carotid artery stenosis. Methods: A comprehensive search was...

  • Article hints medical therapy sufficient for carotid stenosis. McCARTY, MARK // Medical Device Daily;10/17/2013, Vol. 17 Issue 201, p1 

    The article focuses on the article "Management of Asymptomatic Internal Carotid Artery Stenosis," by Joshua Beckman, which states the benefits of revascularization for carotid stenosis. It states that Beckman has noted the role of cardiac function in the stroke rates and mortality among...

  • Carotid endarterectomy for treatment of tandem carotid stenosis in the presence of the anomalous origin of the occipital artery arising from the cervical internal carotid artery: a case report. Yoshikawa, Gakushi; Kawashima, Mariko; Tsutsumi, Kazuo // Journal of Medical Case Reports;2013, Vol. 7 Issue 1, p1 

    Introduction Branches from the cervical portion of the internal carotid artery are rare. In most cases, atherosclerotic stenosis is found at the bifurcation of the internal and external carotid arteries. However, when associated with atherosclerotic carotid artery disease, the origin of the rare...

  • Carotid Artery Stenting, Endarterectomy, or Medical Treatment Alone: The Debate Is Not Over. Kassaian, Seyed Ebrahim; Goodarzynejad, Hamidreza // Journal of Tehran University Heart Center;2011, Vol. 6 Issue 1, p1 

    The management of carotid artery stenosis reduces the risk of stroke and its related deaths. Management options include risk factor modification and medical therapy, carotid endarterectomy (CEA), and carotid artery stenting (CAS). Although several randomized controlled trials (RCTs), mostly...

  • Management of Asymptomatic Internal Carotid Artery Stenosis. Beckman, Joshua A. // JAMA: Journal of the American Medical Association;10/16/2013, Vol. 310 Issue 15, p1612 

    Optimal management of patients with asymptomatic carotid artery stenosis remains unclear. Although 2 high-quality randomized clinical trials demonstrated reductions in ispsilateral stroke rates in patients without symptoms after carotid endarterectomy, medical therapy of asymptomatic carotid...

  • Karotisstents - eine Standortbestimmung. Gölitz, P.; Dörfler, A. // Der Radiologe;Mar2013, Vol. 53 Issue 3, p246 

    Clinical/methodical issue: Therapy of carotid stenosis should be based on an accurate assessment of the stenosis and a differentiation between symptomatic and asymptomatic patients. Standard radiological methods: According to current guidelines carotid artery stenting (CAS) can be considered as...

  • Stenting and endarterectomy for carotid artery stenosis did not differ for a composite of stroke, MI, or death. Kirshner, Howard S. // ACP Journal Club;11/16/2010, Vol. 153 Issue 5, p11 

    The article discusses the author's views on the impact of carotid artery stenting (CAS) and carotid endarterectomy (CEA) on the patients with extracranial carotid stenosis. A study called Carotid Revascularization Endarterectomy versus Stenting Trial (CREST) reveals that CAS and CEA do not cause...

  • Controversies in neurology: asymptomatic carotid stenosis-intervention or just stick to medical therapy. The argument for carotid endarterectomy. Hirt, Liam; Halliday, Alison // Journal of Neural Transmission;Apr2011, Vol. 118 Issue 4, p631 

    Patients with a significant carotid stenosis are at an increased risk of suffering from a potentially fatal or disabling stroke. The current management strategies available to a patient with an asymptomatic carotid stenosis are either medical therapy alone, or in combination with either carotid...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics