Long-Term Outcomes of Carotid Endarterectomy and Stenting

Although stroke risk is higher in the months after stenting than after endarterectomy, the risk is about the same over subsequent years.

For patients undergoing carotid revascularization procedures, a common quality benchmark is the rate of major complications (stroke, death) within 30 days after the procedure. For patients with symptomatic carotid stenosis, previous studies have found that carotid artery stenting (CAS) is associated with a higher complication rate than carotid endarterectomy (CEA). How the two procedures compare over the long term has received less attention.

Researchers collected individual patient-level data on a total of 4754 patients (mean age, 70 years; 69% men) from four randomized trials comparing CEA and CAS. Median follow-up was 3.5 years and maximum follow-up was 12.4 years. In the periprocedural period (within 120 days after randomization), the st…

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

Long-Term Outcomes of Carotid Endarterectomy and Stenting

Topics

Reviewing Author