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Craig R. Narins, MD, Karl A. Illig, MD  Journal of Vascular Surgery 

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Presentation on theme: "Craig R. Narins, MD, Karl A. Illig, MD  Journal of Vascular Surgery "— Presentation transcript:

1 Patient selection for carotid stenting versus endarterectomy: A systematic review 
Craig R. Narins, MD, Karl A. Illig, MD  Journal of Vascular Surgery  Volume 44, Issue 3, Pages (September 2006) DOI: /j.jvs Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

2 Fig 1 Results of major “high-risk” carotid artery stenting (CAS) prospective multicenter trials and registries. CAS in all trials was performed with distal protection. CEA, Carotid endarterectomy; MI, myocardial infarction; SAPPHIRE, Stenting and Angioplasty with Protection in Patients at High Risk for Endarterectomy trial; ARCHeR, ACCULINK for Revascularization of Carotids in High Risk Patients; SECURITY, Study to Evaluate the Neuroshield Bare Wire Cerebral Protection System and X-Act Stent in Patients at High Risk for Carotid Endarterectomy; BEACH, Boston Scientific EPI-A Carotid Stenting Trial for High Risk Surgical Patients; CABERNET, Carotid Artery Revascularization Using the Boston Scientific FilterWire and the EndoTex NexStent; MAVeRIC, Evaluation of the Medtronic AVE Self-Expanding Carotid Stent System With Distal Protection In the Treatment of Carotid Stenosis. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

3 Fig 2 Illustration depicting anatomic problems that may increase risk with carotid artery stenting. Some of these factors, such as a calcified, angulated arch or difficult carotid anatomy, are proposed mechanisms for the increased risk seen with advancing age. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

4 Fig 3 Relationship between age and 30-day stroke and death rates among patients who underwent carotid stenting in the lead-in phase of CREST. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

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