Carotid revascularization: a systematic review of the evidence.

@article{AlDamluji2013CarotidRA,
  title={Carotid revascularization: a systematic review of the evidence.},
  author={Mohammed S Al-Damluji and Sameer Nagpal and Erik Stilp and Michael S. Remetz and Carlos Enrique Mena},
  journal={Journal of interventional cardiology},
  year={2013},
  volume={26 4},
  pages={
          399-410
        }
}
OBJECTIVE AND BACKGROUND The aim of this study is to provide an evidence-based review of the periprocedural safety and long-term effectiveness of carotid artery stenting (CAS) compared to carotid endarterectomy (CEA), with particular attention paid to the use of embolic protection devices and patients at high risk for CEA. METHODS Electronic databases (Ovid Medline, Cochrane central register of controlled trials, Pubmed, and Embase) were searched to identify: (1) randomized controlled trials… 
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Citation Type

Carotid Endarterectomy: Current Concepts and Practice Patterns.
TLDR
Vascular surgeons are uniquely positioned to treat carotid artery disease through medical therapy, CEA, and stenting, and it is believed that CAS can be adopted with low complication rate in a selected subgroup of patients, but CEA should remain the standard of care.
Methodological quality and redundancy of systematic reviews that compare endarterectomy versus stenting for carotid stenosis
TLDR
A review of systematic reviews and a critical appraisal study found redundant and low methodological quality SR comparing CAS versus CEA for carotid stenosis.
Readmissions after carotid artery revascularization in the Medicare population.
Ileal hemorrhagic infarction after carotid artery stenting: A case report and review of the literature
TLDR
More attention should be paid to the complications of embolism in the vascular system as well as the nervous system after CAS, and the complications should be identified and treated as early as possible.
Sonographic Evaluation of Complications of Extracranial Carotid Artery Interventions
TLDR
An overview of the clinical and sonographic findings of complications after interventions in the extracranial carotid arteries, including dissection, fluid collections, pseudoaneurysm, thrombosis,Thromboembolism, restenosis, and stent deformation is provided.

References

SHOWING 1-10 OF 57 REFERENCES
Carotid Endarterectomy Versus Stenting: A Meta-Analysis of Randomized Trials
TLDR
In comparison with CEA, CAS is associated with a greater odds of stroke and a lower odds of myocardial infarction, which support the continued use of CEA as the standard of care in the treatment of carotid artery stenosis.
A systematic review and meta-analysis of randomized trials of carotid endarterectomy vs stenting.
Safety of carotid artery stenting for symptomatic carotid artery disease: a meta-analysis.
TLDR
No significant differences could be identified between CAS and CEA in the treatment of patients with symptomatic carotid artery disease and larger randomized controlled trials are warranted to compare the two strategies.
Carotid artery stenting vs. endarterectomy.
TLDR
The analysis showed that CAS was associated with a statistically significant increased death or stroke rate at 30 days compared with CEA, and the performance of CAS should be limited to protocols or centres of excellence and targeted especially to patients at high risk for surgery.
Short term and intermediate term comparison of endarterectomy versus stenting for carotid artery stenosis: systematic review and meta-analysis of randomised controlled clinical trials
TLDR
Carotid endarterectomy was found to be superior to carotid artery stenting for short term outcomes but the difference was not significant for intermediate term outcomes; this difference was mainly driven by non-disabling stroke.
Randomised trial of endarterectomy for recently symptomatic carotid stenosis: final results of the MRC European Carotid Surgery Trial (ECST)
Protected carotid stenting in high-surgical-risk patients: the ARCHeR results.
Carotid stenting with distal protection in high surgical risk patients: The BEACH trial 30 day results
TLDR
The similarity in periprocedural event rates for the Pivotal and Roll‐in groups suggests a flat learning curve for experienced operators using this carotid stent system, and suggests that staged sequential treatment of bilateral stenoses may be performed at the same risk as for unilateral lesions.
CAPTURE 2 risk-adjusted stroke outcome benchmarks for carotid artery stenting with distal embolic protection.
The CAPTURE registry: Results of carotid stenting with embolic protection in the post approval setting
  • W. Gray, J. Yadav, +8 authors R. Green
  • Medicine
    Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions
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TLDR
The results of the CAPTURE study suggest that the post‐approval transfer of this new therapy to the community practice setting via carotid stent training programs is effective in preparing physicians with varying experience levels and specialty training backgrounds.
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