Ten-Year Stroke Risk Is Comparable After Carotid Stenting or Endarterectomy

Both procedures appear to be durable over the long term, and ipsilateral stroke was uncommon in both groups.

The CREST (Carotid Revascularization Endarterectomy versus Stenting Trial) investigators previously reported no significant difference in the incidence of the primary composite outcome at 4 years (stroke, myocardial infarction, or death during the periprocedural period or subsequent ipsilateral stroke for endarterectomy compared with stenting). However, during the periprocedural period, there were more strokes with stenting and more myocardial infarctions with endarterectomy.

Although the reported incidence of ipsilateral stroke was similar for the two groups in CREST (2.0% for stenting, 2.4% for endarterectomy), lingering concerns about the long-term durability of these procedures combined with the long life expectancy of many of the CREST …

Reviewing Author

Anthony S. Kim, MD, MAS

Disclosures

Grant/Research SupportNIH/National Institute of Neurological Disorders and Stroke; NIH/National Center for Advancing Translational Sciences

Anthony S. Kim, MD, MAS

Disclosures

Grant/Research SupportNIH/National Institute of Neurological Disorders and Stroke; NIH/National Center for Advancing Translational Sciences

Ten-Year Stroke Risk Is Comparable After Carotid Stenting or Endarterectomy

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Reviewing Author