Diagnosis and Invasive Management of Carotid Atherosclerotic Stenosis

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Presentation transcript:

Diagnosis and Invasive Management of Carotid Atherosclerotic Stenosis James F. Meschia, MD, Thomas G. Brott, MD, Robert W. Hobson, MD Mayo Clinic Proceedings Volume 82, Issue 7, Pages 851-858 (July 2007) DOI: 10.4065/82.7.851 Copyright © 2007 Mayo Foundation for Medical Education and Research Terms and Conditions

FIGURE 1 The percentage of adverse outcomes among patients undergoing carotid endarterectomy stratified by hospital case volume and surgeon volume. An adverse outcome was defined as in-hospital stroke or death. Data were derived from the Canadian administrative hospital discharge database of all patients undergoing carotid endarterectomy in fiscal years 1994 through 1997. Data from Feasby et al.42 Mayo Clinic Proceedings 2007 82, 851-858DOI: (10.4065/82.7.851) Copyright © 2007 Mayo Foundation for Medical Education and Research Terms and Conditions

FIGURE 2 Residual stenosis, restenosis, and remodeling in study participants of the Carotid and Vertebral Artery Transluminal Angioplasty Study of carotid angioplasty with or without carotid angioplasty and stenting (CAS) vs carotid endarterectomy (CEA). A higher rate of restenosis was noted for the CAS group compared with the CEA group (P=.01). Other observed differences in residual stenosis and remodeling were not significant. Adapted from Stroke,49 with permission. Mayo Clinic Proceedings 2007 82, 851-858DOI: (10.4065/82.7.851) Copyright © 2007 Mayo Foundation for Medical Education and Research Terms and Conditions