Are symptomatic patients appropriate candidates for carotid artery stenting? No (at least not at present)

Vascular

Volumn 18, Issue 4, 2010, Pages 185-188

  Paraskevas, Kosmas I ^a   Mikhailidis, Dimitri P ^b   Veith, Frank J ^c  

^a RED CROSS HOSPITAL   (Greece)

^b ROYAL FREE AND UNIVERSITY COLLEGE MEDICAL SCHOOL   (United Kingdom)

^c NEW YORK UNIVERSITY MEDICAL CENTER   (United States)

Author keywords

Carotid artery stenosis; Carotid artery stenting; Carotid endarterectomy; Stroke; Symptomatic carotid artery stenosis

Indexed keywords

CAROTID ANGIOPLASTY; CAROTID ARTERY OBSTRUCTION; CAROTID ARTERY STENTING; CAROTID ENDARTERECTOMY; CEREBROVASCULAR ACCIDENT; CLINICAL TRIAL; COST EFFECTIVENESS ANALYSIS; DEATH; GENERAL ANESTHESIA; HEART INFARCTION; HOSPITAL COST; HUMAN; LOCAL ANESTHESIA; OUTCOME ASSESSMENT; PRIORITY JOURNAL; PROGNOSIS; RESTENOSIS; REVIEW; SYMPTOMATOLOGY; TREATMENT CONTRAINDICATION; TREATMENT INDICATION;

ANGIOPLASTY; CAROTID STENOSIS; COST-BENEFIT ANALYSIS; ENDARTERECTOMY, CAROTID; HEALTH CARE COSTS; HUMANS; PATIENT SELECTION; RECURRENCE; RISK ASSESSMENT; RISK FACTORS; STENTS; STROKE; TREATMENT OUTCOME;

EID: 77955453493     PISSN: 17085381     EISSN: None     Source Type: Journal    
DOI: 10.2310/6670.2010.00027     Document Type: Review

References (26)

1. Gurm HS, Yadav JS, Fayad P, et al. Long-term results of carotid stenting versus endarterectomy in high-risk patients. N Engl J Med 2008;358:1572-9.
2. CaRESS Steering Committee. Carotid Revascularization Using Endarterectomy of Stenting Systems (CaRESS) phase I clinical trial: 1-year results. J Vasc Surg 2005;42:213-9.
3. Hellings WE, Ackerstaff RG, Pasterkamp G, et al. The carotid atherosclerotic plaque and microembolisation during carotid stenting. J Cardiovasc Surg (Torino) 2006;47:115-26.
4. Paraskevas KI, Mikhailidis DP, Veith FJ. Carotid artery stenting may be losing the battle against carotid endarterectomy for the management of symptomatic carotid artery stenosis, but the jury is still out. Vascular 2009;17:183-9.
5. Medscape Medical News. XVIII European Stroke Conference 2009: ICSS: carotid endarterectomy superior to stenting, at least in the short term. Available at: http://www.medscape.com/viewarticle/ 703471 (accessed September 19, 2009).
6. Bonati LH, Ederle J, McCabe DJ, et al. Long-term risk of carotid restenosis in patients assigned randomly to endovascular treatment or endarterectomy in the Carotid and Vertebral Artery Transluminal Angioplasty Study (CAVATAS): long-term follow-up of a randomised trial. Lancet Neurol 2009;8:908-17.
7. Mas JL, Chatellier G, Beyssen B, et al, EVA-3S Investigators. Endarterectomy versus stenting in patients with symptomatic severe carotid stenosis. N Engl J Med 2006;355:1660-71.
8. Theiss W, Hermanek P, Mathias K, et al. Predictors of death and stroke after carotid angioplasty and stenting: a subgroup analysis of the Pro-CAS data. Stroke 2008;39:2325-30.
9. Sidawy AN, Zwolak RM, White RA, et al. Risk-adjusted 30-day outcomes of carotid stenting and endarterectomy: results from the SVS Vascular Registry. J Vasc Surg 2009;49:71-9.
10. Brar SS, Gray WA. Regarding "Risk-Adjusted 30-Day Outcomes of Carotid Stenting and Endarterectomy: Results from the SVS Vascular Registry." J Vasc Surg 2009;49:1362.
11. Meier P, Hayward RA. Regarding "Risk-Adjusted 30-Day Outcomes of Carotid Stenting and Endarterectomy: Results from the SVS Vascular Registry." J Vasc Surg 2009;50:475.
12. de Donato G, Setacci C, Deloose K, et al. Long-term results of carotid artery stenting. J Vasc Surg 2008;48:1431-40.
13. SPACE Collaborative Group, Ringleb PA, Allenberg J, Bruckmann H, et al. 30 day results from the SPACE trial of stent-protected angioplasty versus carotid endarterectomy in symptomatic patients: a randomised non-inferiority trial. Lancet 2006;368:1239-47.
14. Eckstein HH, Ringleb P, Allenberg JR, et al. Results of the Stent-Protected Angioplasty versus Carotid Endarterectomy (SPACE) study to treat symptomatic stenoses at 2 years: a multinational, prospective, randomised trial. Lancet Neurol 2008;7:893-902.
15. McPhee JT, Schanzer A, Messina LM, Eslami MH. Carotid artery stenting has increased rates of postprocedure stroke, death, and resource utilization than does carotid endarterectomy in the United States, 2005. J Vasc Surg 2008;48:1442-50.
16. Kilaru S, Korn P, Kasirajan K, et al. Is carotid angioplasty and stenting more cost effective than carotid endarterectomy? J Vasc Surg 2003;37:331-9.
17. Park B, Mavanur A, Dahn M, Menzoian J. Clinical outcomes and cost comparison of carotid artery angioplasty with stenting versus carotid endarterectomy. J Vasc Surg 2006;44:270-6.
18. Pawaskar M, Satiani B, Balkrishnan R, Starr JE. Economic evaluation of carotid artery stenting versus carotid endarterectomy for the treatment of carotid artery stenosis. J Am Coll Surg 2007; 205:413-9.
19. Guay J. The GALA trial: answers it gives, answers it does not. Lancet 2008;372:2092-3.
20. Pandit JJ. Anaesthetic techniques for carotid surgery. Lancet 2009; 373:807.
21. Bo L, Zhu K. Anaesthetic techniques for carotid surgery. Lancet 2009;373:807.
22. Paraskevas KI, Mikhailidis DP. Anaesthetic techniques for carotid surgery. Lancet 2009;373:807.
23. Paraskevas KI, Mikhailidis D, Bell P. The GALA trial: will it influence clinical practice? Vasc Endovascular Surg 2009;43:429-32.
24. GALA Trial Collaborative Group, Lewis SC, Warlow CP, Bodenham AR, et al. General anaesthesia versus local anaesthesia for carotid surgery (GALA): a multicentre, randomised controlled trial. Lancet 2008;372:2132-42.
25. Carotid Stenting Guidelines Committee. Guidelines for patient selection and performance of carotid artery stenting. J Med Imaging Radiat Oncol 2009;53:538-45.
26. Veith FJ. Carotid screening guidelines - overvalued. Med Gen Med 2007;9:54.