Optimal Procedure for Early Poststroke Carotid Revascularization

A comparison of endarterectomy versus stenting in the days and weeks after stroke

Evidence and guidelines support performing carotid endarterectomy (CEA) within 2 weeks following an ischemic stroke caused by carotid artery stenosis if the patient does not have a severe or unstable neurologic condition. Evidence on the risks and benefits of early carotid artery stenting (CAS) has not been as clear. To compare the outcomes of early revascularization with CEA or CAS, investigators compiled the results from four multicenter trials (3 in Europe, 1 in North America).

All 4138 patients were symptomatic, with a recent stroke or transient ischemic attack. Very few patients had the revascularization procedure done within 7 days of the last neurologic event (14% with CAS, 11% with CEA). The median delay to revascularization was 26 d…

Reviewing Author

Seemant Chaturvedi, MD

Disclosures

Consultant/Advisory BoardBayer Pharmaceuticals; Novartis

Grant/Research SupportNational Institute of Neurological Disorders and Stroke

Editorial BoardsNeurology; Stroke

Seemant Chaturvedi, MD

Disclosures

Consultant/Advisory BoardBayer Pharmaceuticals; Novartis

Grant/Research SupportNational Institute of Neurological Disorders and Stroke

Editorial BoardsNeurology; Stroke

Optimal Procedure for Early Poststroke Carotid Revascularization

Topics

Reviewing Author