Professional paper

Comparison between Carotid Stenting and Carotid Endarterectomy in Early Outcome

Slavica Kovačić
Miljenko Kovačević
Ines Strenja-Linić
Berislav Budiselić
Siniša Knežević

Abstract

Carotid artery stenting (CAS) is a widely used method in prevention of stroke for carotid artery stenosis as an alternative
to surgical treatment. Initial studies reveal higher morbidity and mortality rates for CAS than acceptable standards
for carotid endarterectomy (CEA). The aim of this study was to compare results in a series of CAS with concurrent
risk-matched group of CEA patients. The study included two groups of 50 patients with internal carotid artery stenosis.
We compared early outcome (30 days after procedure) in risk-matched groups of patients that underwent these procedures.
Post procedural complications were equally frequent in both groups. There was no significant difference in perioperative
complication rates (P=0.871). Comparison of these two methods shows that CAS and CEA are competitive
methods for treatment of carotid artery stenosis. Particularly in symptomatic patients with high risk for surgery CAS is
alternative treatment.

Keywords

carotid artery stenosis; carotid stenting (CAS); carotid endarterectomy (CEA)

Hrčak ID:

72289

URI

https://hrcak.srce.hr/72289

Publication date:

25.9.2011.

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