Carotid artery stenting is associated with a higher incidence of major adverse clinical events than carotid endarterectomy in female patients

Journal of Vascular Surgery
Kyla M Bennett, John E Scarborough

Abstract

The optimal approach to carotid revascularization in female patients with carotid artery stenosis is widely debated. Information available is largely derived from clinical trials that include only highly selected patients. The goal of this study was to compare the early clinical outcomes in women who undergo carotid artery stenting (CAS) vs carotid endarterectomy (CEA). Female patients undergoing CAS or CEA between January 1, 2012 and December 31, 2015, and who were included in the Procedure Targeted American College of Surgeons National Surgical Quality Improvement Program were assessed for their incidence of early postoperative complications. The primary outcome measure was 30-day incidence of a major adverse clinical event (MACE; defined as death, stroke, transient ischemic attack, or myocardial infarction/arrhythmia). Univariable analyses were used to compare results between female patients undergoing CEA and those undergoing CAS. Propensity score matching techniques were used to create a cohort of 125 CAS and CEA patients who were well matched for all known patient-, disease-, and procedure-related factors. Analysis of comparative outcomes between the propensity-matched groups was then performed. The overall study populati...Continue Reading

Citations

Jan 5, 2018·European Heart Journal·Victor AboyansUNKNOWN ESC Working Group on Aorta and Peripheral Vascular Diseases
Aug 18, 2018·Vascular Medicine
Nov 13, 2018·International Angiology : a Journal of the International Union of Angiology·Konstantinos SpanosAthanasios D Giannoukas
Jun 10, 2021·Jornal Vascular Brasileiro·Marina AnsuateguiJose A Gonzalez-Fajardo
Nov 19, 2019·Journal of Vascular Surgery Cases and Innovative Techniques·Drew J BraetTodd R Vogel

❮ Previous
Next ❯

Related Concepts

Related Feeds

Atrial Fibrillation

Atrial fibrillation is a common arrhythmia that is associated with substantial morbidity and mortality, particularly due to stroke and thromboembolism. Here is the latest research.

Arrhythmia

Arrhythmias are abnormalities in heart rhythms, which can be either too fast or too slow. They can result from abnormalities of the initiation of an impulse or impulse conduction or a combination of both. Here is the latest research on arrhythmias.

Carotid Artery Diseases

Carotid artery disease is a group of pathological conditions of the carotid artery. Discover the latest research on carotid artery disease here.