Carotid endarterectomy compared with carotid artery stenting for extracranial carotid artery stenosis: A retrospective single-centre study

Creative Commons License

Birdal O., Çalık E., Arslan Ü., Koza Y.

21st Congress of Turkish Society For Vascular and Endovascular Surgery, 24th Congress of Asian Society For Vascular Surgery (ASVS) 18th Asian Venous Forum, 12th Congress of Turkish Society of Phlebology, Antalya, Türkiye, 30 Kasım - 03 Aralık 2023, cilt.32, sa.2, ss.101

  • Yayın Türü: Bildiri / Özet Bildiri
  • Cilt numarası: 32
  • Basıldığı Şehir: Antalya
  • Basıldığı Ülke: Türkiye
  • Sayfa Sayıları: ss.101
  • Atatürk Üniversitesi Adresli: Evet

Özet

Abstract

Aim: One of the main risk factors for an ischemic stroke is significant carotid artery stenosis, and extracranial severe carotid artery

stenosis accounts for 20% of ischemic strokes. Prior to the development of carotid artery stenting (CAS), the only effective and

reliable treatment for carotid artery stenosis was carotid endarterectomy (CEA). This study compares the results of CAS and CEA in

patients with significant extracranial carotid artery stenosis.

Material and Methods: All patients who underwent carotid artery revascularization had their hospital records retrospectively

examined. Based on whether CEA or CAS was used for the carotid revascularization, the patients were split into two groups. In order

to compare 30-day, 1-year, and long-term outcomes, the rates of transient ischemic attack (TIA), myocardial infarction (MI), stroke,

and all-cause death were examined. Composite endpoints for both groups were also looked at.

Results: For severe occlusive carotid disease, 122 CEA and 148 CAS procedures were carried out. Age, incidence of COPD, amount

of asymptomatic cases and LDL cholesterol level were difference between the baseline characteristics. No significant differences

were found between CEA and CAS procedures for 30-day death, MI, or neurologic morbidity outcomes. During the 1-year followup,

it was observed that the TIA and composite endpoint were considerably higher in the CAS group. In the long run, there was no

discernible difference between the two groups.

Conclusion: There was no noticeable difference between the CEA and CAS groups in our examination of cases with severe carotid

artery stenosis in terms of 1-month outcomes, 1-year results (apart from TIA and composite endpoints), or long-term outcomes.

Extracranial carotid artery stenosis can be treated safely and effectively using CAS.

Keywords: Carotid artery stenting, carotid endarterectomy, carotid stenosis, retrospective analysis