Carotid artery stenting with emboli protection surveillance study: outcomes at 1 year

Journal of the American College of Cardiology
Theodore L SchreiberCASES-PMS Investigators

Abstract

The CASES-PMS (Carotid Artery Stenting With Emboli Protection Surveillance-Post-Marketing Study) multicenter, prospective, single-arm, surveillance study was designed to assess the safety and efficacy of carotid artery stenting (CAS) when performed by physicians with varied experience in CAS utilizing a formal training program. Whether the excellent results achieved at 30 days would be sustained to 1 year was the subject of the current investigation. Previously, the pivotal SAPPHIRE (Stenting and Angioplasty with Protection of Patients with High Risk for Endarterectomy) trial demonstrated that CAS was not inferior to carotid endarterectomy (CEA) when performed by physicians experienced in carotid stenting. High surgical-risk patients with de novo atherosclerotic or post-endarterectomy restenotic lesions in native carotid arteries were enrolled at participating centers. Inclusion and exclusion criteria matched those of the SAPPHIRE trial. The primary end point was a composite of 30-day major adverse events (MAE) including death, any stroke, or myocardial infarction. A total of 1,492 patients were enrolled at 73 sites. The primary end point of 30-day MAE was 5.0%, meeting criteria for noninferiority to the prespecified objective ...Continue Reading

References

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Citations

Sep 29, 2011·JAMA : the Journal of the American Medical Association·Brahmajee K NallamothuJohn D Birkmeyer
Jan 4, 2013·Neurosurgery·Alim P MithaCameron G McDougall
Apr 29, 2014·Journal of Cardiovascular Translational Research·Rajan A G Patel
Dec 13, 2017·Seminars in Cardiothoracic and Vascular Anesthesia·Ali SubatDaniel Katz

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