Carotid artery stenting in the SPACE and EVA-3S trials: analysis and update.
Carotid artery stenting is an alternative to carotid endarterectomy. Although the stroke and mortality rates after stenting are low, it is yet to be proved that stenting is superior or equal to endarterectomy in low-risk symptomatic and asymptomatic patients. A summary of the results of 2 recent trials comparing carotid stenting with carotid endarterectomy, SPACE, and EVA-3S, is presented herein. Both trials failed to prove noninferiority of carotid stenting compared with carotid endarterectomy.
Mansour
M Ashraf
MA
Division of Cardiovascular Surgery, Spectrum Health, Grand Rapids, Michigan, USA. ashmans2@aol.com
D000800:Angioplasty, Balloon; D016893:Carotid Stenosis / Q000601:surgery / Q000628:therapy*; D016894:Endarterectomy, Carotid; D006801:Humans; D012107:Research Design; D015607:Stents; D016896:Treatment Outcome