The Carotid Revascularization Endarterectomy versus Stenting Trial: Credentialing of Interventionalists and Final Results of Lead-in Phase

Abstract

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Carotid Stenting

“…[14][15][16][17][18][19] In agreement with our results, none of them showed an association between lifetime operator experience and the 30-day risk of complications after CAS. 14,15 In the lead-in phase of CREST, neither years of experience in performing carotid intervention nor the number of CAS procedures performed before the CREST lead-in phase was associated with 30-day risk of stroke, myocardial infarction, and death.…”

Clinical considerations in the management of asymptomatic carotid artery stenosis

“…A rigorous training and credentialing process for interventionalists was required prior to participation. 27 In short, there was no significant difference in the rates of the primary end points between carotid angioplasty with stenting and carotid endarterectomy (7.2% vs 6.8%, respectively; hazard ratio with stenting 1.11; p = 0.51) at a mean follow-up of 2.5 years. 3 No modification of a treatment effect was detected with respect to symptomatic status or sex, but an interaction with age was established (p = 0.02).…”

Cardioneurology: The Up-to-Date Key Positions and the Future Prospects

“…В насто-ящее время изучены частота и виды кардиальных и церебральных осложнений при открытых и эндоваску-лярных операциях на брахиоцефальных артериях [56,57]. Показано, что в раннем послеоперационном периоде (30 дней) каротидная эндартерэктомия чаще осложняется инфарктом миокарда, а баллонная ангиопластика со стен-тированием -церебральными расстройствами (инсульт, ТИА, асимптомное церебральное поражение) [58]. Основой предупреждения кардиальных осложнений при открытых операциях на артериях головы служит своевре-менное начало лечения бета-адреноблокаторами, инги-биторами ангиотензинпревращающего фермента, ста-тинами и антитромботическими средствами [59,60].…”