title: Stenting or endarterectomy for patients with symptomatic carotid stenosis.
abstract: Carotid artery stenting is a less invasive alternative to endarterectomy to treat symptomatic carotid stenosis. Clinical trials showed a higher periprocedural risk of nondisabling stroke with stenting, and a higher periprocedural risk of myocardial infarction, cranial nerve palsy, and access site hematoma with endarterectomy. The excess in procedure-related strokes with stenting is mainly seen in patients aged 70 and over. After the procedural period, stenting and endarterectomy are equally effective in preventing stroke and recurrent carotid stenosis in the medium to long term. The choice of stenting versus endarterectomy should take into account risks of both procedures in individual patients.
authors.affiliation: Department of Neurology, Stroke Center, University Hospital Basel, Petersgraben 4, Basel CH-4031, Switzerland. Electronic address: bonatil@uhbs.ch.
authors.forename: Leo
authors.initials: L
authors.lastname: Bonati
mesh_terms: D001807:Blood Vessel Prosthesis; D016893:Carotid Stenosis / Q000601:surgery*; D016894:Endarterectomy, Carotid; D006801:Humans; D015607:Stents; D014656:Vascular Surgical Procedures / Q000295:instrumentation* / Q000379:methods*
keywords: Carotid artery stenosis; Endarterectomy; Randomized controlled trials; Review; Stenting