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Based on findings from random controlled trials, we can determine the safety and effectiveness of carotid artery stenting and carotid endarterectomy in treating asymptomatic carotid artery stenosis in treating asymptomatic carotid artery stenosis. Methods Randomized controlled trials comparing CAS and CEA in treating asymptomatic carotid artery stenosis were searched from databases of EMBASE, PubMed, MEDLINE, and Cochrane libraries. Result Sixteen studies from seven randomized controlled trials were included, demonstrating relevant outcomes for 7230 asymptomatic carotid artery stenosis patients. Compared to the CEA group, the CAS group made no difference in perioperative composite end point events such as stroke, death, and myocardial infarction. CAS had a higher risk of any stroke during the perioperative period and an elevated risk of nondisabling strokes than CEA, but there was no significant difference in disabling stroke and death between groups, but there was no significant difference between them. However, CAS may put a greater risk of any stroke and nondisabling stroke during the perioperative period.
Source link: https://europepmc.org/article/MED/35730457
Although carotid stenosis management has been the gold standard of care for many years, advancements in carotid stenting techniques, clinician expertise, and dual antiplatelet therapy have increased the use for procedures other than endarterectomy. Endarterectomy versus stenting is therefore difficult, and although large studies have reported similar results, each patient's specific treatment plan must be optimized for each patient to ensure the best possible result.
Source link: https://europepmc.org/article/MED/35743667
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