European Registry of Carotid Artery Stenting: results from a prospective registry of eight high volume EUROPEAN institutions

Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions
Eugenio StabilePaolo Rubino

Abstract

Carotid endarterectomy (CEA) is the standard revascularization therapy to prevent stroke in patients with carotid artery disease. Carotid artery stenting (CAS) could be considered a potential alternative in patients at high surgical risk. Recent clinical trials have challenged this concept due a relatively high incidence of post-CAS adverse events, which occurred in low volume centers. The aim of this study was to evaluate the outcomes associated with neuroprotected CAS in selected high volume centers. From January 2007 to December 2007, 1,611 patients underwent neuroprotected CAS in eight European Centers. For each patients, clinical, procedural, and one month follow-up data from all patients have been collected. An independent clinical events committee adjudicated the events. Overall in hospital death was 0.06% (one patient), whereas in-hospital stroke was 0.49% (eight patients). Between hospital discharge and 30 days three additional patients died (0.18%) and 10 patients experienced a stroke (0.67%). Overall 30 days mortality was 0.24% (four patients) and stroke incidence 1.12% (18 patients). The 30 day stroke/death rate was 1.36%. CAS is a reasonable alternative to CEA to treat carotid artery atherosclerosis in well-experie...Continue Reading

References

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Citations

Mar 8, 2013·Future Cardiology·Mehmet CilingirogluMark H Wholey
Dec 25, 2013·The Canadian Journal of Cardiology·Jacqueline Saw
Mar 29, 2012·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Robert M BersinPaolo Rubino
Jul 25, 2012·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Robert D Safian
Dec 12, 2012·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Robert D Safian
Apr 10, 2014·Journal of Neurointerventional Surgery·Waleed BrinjikjiHarry J Cloft
Oct 24, 2014·Cardiovascular and Interventional Radiology·Marc BosiersJuan Diaz-Cartelle
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