Durability of Stroke Prevention with Carotid Endarterectomy and Carotid Stenting

Abstract

Early death, stroke, and myocardial infarction rates are comparable after carotid endarterectomy and carotid artery stenting. Carotid artery stenting is an effective means of preventing stroke among patients with carotid artery stenosis. Symptomatic status does not seem to affect rates of stroke, myocardial infarction, or death. Carotid endarterectomy continues to be the preferred long-term solution for extracranial carotid artery occlusive disease as it is associated with better long-term survival and lower restenosis rates.

Determinants of success in treating acute ischemic cerebral and ocular ischemia through carotid revascularization. An observational study of a case series

“…Notwithstanding many advances in the diagnosis and treatment of both ischemic and hemorrhagic stroke have been witnessed in the last decades, there are still several questions that must be addressed. For instance, regarding the available surgical approaches to treat ischemic stroke, the benefits of carotid endarterectomy (CE) in preventing the occurrence of cerebrovascular events are unquestionable 5 , 8 . However, the most appropriate moment to use this approach after an ischemic stroke is still in debate.…”

Carotid Bifurcation With Tandem Stenosis—A Patient-Specific Case Study Combined in vivo Imaging, in vitro Histology and in silico Simulation

“…Carotid stenosis is known as one of the main risk factors to the ischemic stroke, which contributes over three quarters of the total stroke cases (Markus, 2016). To prevent the ischemic stroke, carotid endarterectomy (CEA) and carotid-artery stenting (CAS) are options for treating carotid artery stenosis (Brott et al, 2010), and CEA is considered as the gold standard treatment of carotid stenosis (European Carotid Surgery Trialists' Collaborative Group, 1998; Ferguson et al, 1999; Thomas et al, 2018).…”