Restenosis Rates After Carotid Artery Stenting vs. Carotid Endarterectomy

Two-year follow-up of patients enrolled in the CREST trial shows that these procedures are equally durable.

Although carotid artery stenting (CAS) has developed into a credible alternative to carotid endarterectomy (CEA) for the treatment of carotid artery stenosis, we know little about the comparative durability of these two procedures. To compare the rates of restenosis after CAS and CEA, investigators have now assessed serial carotid ultrasound measurements from the recent, partially industry-funded Carotid Revascularization Endarterectomy versus Stenting Trial (CREST). CREST enrolled patients with both symptomatic and asymptomatic carotid artery stenosis at 117 North American centers. Patients were randomly assigned to either standard CEA or CAS with a self-expanding nitinol stent, and then underwent serial carotid ultrasound measurements for…

Reviewing Author

Hooman Kamel, MD

Disclosures

Speaker’s bureauGenentech

Grant / Research supportNational Institutes of Health/National Institute of Neurological Disorders and Stroke; Michael Goldberg Stroke Research Fund

Editorial boardsPLOS One; Scientific Reports

Leadership positions in professional societiesNeurocritical Care Society (Research Committee Member)

Hooman Kamel, MD

Disclosures

Speaker’s bureauGenentech

Grant / Research supportNational Institutes of Health/National Institute of Neurological Disorders and Stroke; Michael Goldberg Stroke Research Fund

Editorial boardsPLOS One; Scientific Reports

Leadership positions in professional societiesNeurocritical Care Society (Research Committee Member)

Restenosis Rates After Carotid Artery Stenting vs. Carotid Endarterectomy

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Reviewing Author