Carotid endarterectomy and carotid artery stenting in the light of ICSS and CREST studies

Result code in IS VaVaI
<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00216208%3A11110%2F18%3A10381496" target="_blank" >RIV/00216208:11110/18:10381496 - isvavai.cz</a>
Result on the web
<a href="https://doi.org/10.1007/978-3-319-73739-3_14" target="_blank" >https://doi.org/10.1007/978-3-319-73739-3_14</a>
DOI - Digital Object Identifier
<a href="http://dx.doi.org/10.1007/978-3-319-73739-3_14" target="_blank" >10.1007/978-3-319-73739-3_14</a>

Result language
angličtina
Original language name
Carotid endarterectomy and carotid artery stenting in the light of ICSS and CREST studies
Original language description
Objective: We analyzed the results of internal carotid artery (ICA) stenosis treatment at our institution according to the treatment modality-carotid endarterectomy (CEA) vs. carotid artery stenting (CAS). Methods: During 2003-2015, a total of 1894 procedures were performed for ICA stenosis. CEA was done in 1064 cases and CAS in 830 cases. The primary outcome was disabling stroke (mRS > 2) or myocardial infarction within 30 days of treatment. Secondary outcomes were transitory ischemic attacks (TIAs), minor strokes (stroke without impaired activities of daily living), and any other significant complications. Results: Major mortality and morbidity were divided according to their treatment groups; this reached 0.9% in the CEA and 2.5% in the CAS group (p = 0.007). Minor stroke was recorded at 1.5% and 2.7% in the CEA and CAS groups (p = 0.077), TIAs in 1.0% (CEA) and 4.0% (CAS) (p < 0.001), and any complication in 12.4% (CEA) and 13.0% (CAS) (p = 0.694). Conclusions: CEA is a safe procedure in patients who meet the correct treatment indications. In all subgroup analyses CEA proved to be equal to or better than CAS. This study supports the idea of CEA being the preferred treatment and CAS being reserved for selected cases only.
Czech name
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Czech description
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Publication year
2018
Confidentiality
S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Article name in the collection
Trends in the Management of Cerebrovascular Diseases
ISBN
978-3-319-73738-6
ISSN
0065-1419
e-ISSN
neuvedeno
Number of pages
5
Pages from-to
95-99
Publisher name
Springer-Verlag Wien
Place of publication
Wien
Event location
Zurich, Switzerland
Event date
Jun 22, 2016
Type of event by nationality
WRD - Celosvětová akce
UT code for WoS article
000455755700014

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