Of Horse Races, Trials, Meta-analyses, and Carotid Artery Stenosis

Caplan, Louis R.; Brott, Thomas G.

doi:10.1001/archneurol.2010.268

Cited by 2 publications

(1 citation statement)

References 8 publications

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“…At 30 days, the incidence of stroke or death was for open surgery or a radiologically monitored procedure that has no neck incision. 21 Both procedures entail considerable risk (for example, potentially disabling stroke), and the desired efficacy of the operations will not be achieved unless the perioperative morbidity and mortality are kept low.…”

Section: Carotid Artery Stenosis In the Neckmentioning

confidence: 99%

Interventional Neurology—Recent Advances and New Applications

Chen¹

2011

US Neurology

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Interventional neurology refers to endovascular, catheter-based techniques using fluoroscopy and angiography to diagnose and treat vascular disease of the central nervous system. This article provides an update on the recent advances and newer applications of diagnostic cerebral angiography, acute endovascular stroke treatment, revascularization of carotid and intracranial stenosis, as well as cerebral aneurysm treatment. More importantly, however, is demonstrating not only how diagnostic cerebral catheter angiography has been redefined, but also how the associated interventional procedures have transformed the therapeutic landscape for stroke patients. KeywordsInterventional neurology, cerebral angiography, endovascular stroke treatment, aneurysm coiling, intracranial stenosis Disclosure: The author has no conflicts of interest to declare.

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Section: Carotid Artery Stenosis In the Neckmentioning

confidence: 99%

Interventional Neurology—Recent Advances and New Applications

Chen¹

2011

US Neurology

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Age and gender disparities in the risk of carotid revascularization procedures

et al. 2013

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The potential effect of age and gender stratification in the outcome of patients with carotid artery stenosis undergoing carotid revascularization procedures (CRP) may have important implications in clinical practice. Both European Stroke Organization and American Heart Association guidelines suggest that age and sex should be taken into account when selecting a CRP for an individual patient. We reviewed available literature data through Medline and Embase. Our search was based on the combination of terms: age, gender, sex, carotid artery stenosis, carotid artery stenting (CAS) and carotid endarterectomy (CEA). Postoperative stroke and mortality rates increased with age after any CRP (CEA or CAS), especially in patients aged over 75 years. Older patients with carotid artery stenosis undergoing CAS were found to have a nearly double risk of stroke or death compared with CEA, while CEA was found to benefit more patients aged over 70 years with symptomatic carotid artery stenosis. Male patients with symptomatic or asymptomatic carotid artery stenosis had lower stroke/mortality rates and benefited more from CEA compared with females. For the periprocedural risk of stroke or death in patients with carotid artery stenosis after CAS no sex differences were found. Therefore, CEA appears to have lower perioperative risks than CAS in patients aged over 70 years, and thus should be the treatment of choice if not contraindicated. The periprocedural risk of CEA is lower in men than in women, while there was no effect of gender on the periprocedural risk of CAS.

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Of Horse Races, Trials, Meta-analyses, and Carotid Artery Stenosis

Cited by 2 publications

References 8 publications

Interventional Neurology—Recent Advances and New Applications

Interventional Neurology—Recent Advances and New Applications

Age and gender disparities in the risk of carotid revascularization procedures

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