Carotid Endarterectomy versus Carotid Angioplasty Cui Bono

被引:5
|
作者
Moore, W. S. [1 ]
机构
[1] Univ Calif Los Angeles, David Geffen Sch Med, Div Vasc Surg, Los Angeles, CA 90095 USA
关键词
Carotid angioplasty; Carotid endarterectomy; Prospective randomized trials; Comparative results; STENTING TRIAL CREST; REVASCULARIZATION ENDARTERECTOMY; DEATH RATES; 30-DAY STROKE; ARTERY;
D O I
10.1016/j.ejvs.2009.10.007
中图分类号
R61 [外科手术学];
学科分类号
摘要
Objectives: To evaluate the current status of carotid angioplasty (CAS) versus carotid endarterectomy (CEA) in the management of patients with carotid bifurcation disease. Design: Retrospective review of published and presented prospective randomized trials to date, regarding comparative results of CAS versus CEA. Materials: Review of six published prospective randomized trials, one trial presented in press, and one trial completed and being analyzed. Large population based studies and a comparative registry study are also included. Methods: Retrospective literature review. Results: The results today favor CEA over CAS with respect to stroke morbidity, mortality, freedom from recurrence, and cost. Conclusions: At the present time, CEA remains the intervention of choice in the management of carotid bifurcation disease. (C) 2009 Published by Elsevier Ltd on behalf of European Society for Vascular Surgery.
引用
收藏
页码:S44 / S48
页数:5
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