Abstract | BACKGROUND: METHODS: We conducted a multicenter, randomized, non-inferiority trial to compare stenting with endarterectomy in patients with a symptomatic carotid stenosis of at least 60%. The primary end point was the incidence of any stroke or death within 30 days after treatment. RESULTS: The trial was stopped prematurely after the inclusion of 527 patients for reasons of both safety and futility. The 30-day incidence of any stroke or death was 3.9% after endarterectomy (95% confidence interval [CI], 2.0-7.2) and 9.6% after stenting (95% CI, 6.4-14.0); the relative risk of any stroke or death after stenting as compared with endarterectomy was 2.5 (95% CI, 1.2-5.1). The 30-day incidence of disabling stroke or death was 1.5% after endarterectomy (95% CI, 0.5-4.2) and 3.4% after stenting (95% CI, 1.7-6.7); the relative risk was 2.2 (95% CI, 0.7-7.2). At 6 months, the incidence of any stroke or death was 6.1% after endarterectomy and 11.7% after stenting (P = .02). There were more major local complications after stenting and more systemic complications (mainly pulmonary) after endarterectomy, but the differences were not significant. Cranial-nerve injury was more common after endarterectomy than after stenting. CONCLUSIONS:
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Authors | Richard P Cambria |
Journal | Perspectives in vascular surgery and endovascular therapy
(Perspect Vasc Surg Endovasc Ther)
Vol. 19
Issue 2
Pg. 201-3
(Jun 2007)
ISSN: 1531-0035 [Print] United States |
PMID | 17704496
(Publication Type: Comparative Study, Journal Article)
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Topics |
- Carotid Stenosis
(therapy)
- Endarterectomy, Carotid
- Humans
- Prospective Studies
- Randomized Controlled Trials as Topic
- Stents
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