Does protected carotid-artery stenting prevent stroke compared to carotid endarterectomy in high-risk patients with severe symptomatic or asymptomatic atherosclerotic carotid-artery stenosis?
High-risk patients with severe symptomatic or asymptomatic atherosclerotic carotid-artery stenosis
Protected carotid-artery stenting (stenting with the use of an emboli-protection device)
Carotid endarterectomy
Carotid endarterectomy is more effective than medical management in the prevention of stroke in patients with severe symptomatic or asymptomatic atherosclerotic carotid-artery stenosis. Stenting with the use of an emboli-protection device is a less invasive revascularization strategy than endarterectomy in carotid-artery disease.
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Jay S. Yadav
Mark H. Wholey
Richard E. Kuntz
New England Journal of Medicine
Harvard University
Brigham and Women's Hospital
Cleveland Clinic
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Yadav et al. (Wed,) studied this question.
www.synapsesocial.com/papers/69d7608ff44a16d01ef30ae0 — DOI: https://doi.org/10.1056/nejmoa040127