Friday, October 07, 2011

Carotid artery interventions and Outcomes


NASCET, ACAS  trials remain to be gold standards for reducing the risk of a subsequent cerebro-vascular accident. Despite several large studies the literature remains unclear about the absolute benefit of one procedure over the other. The recent data from CREST has showed increased risk of CVA among the patients undergoing CAS (4.1% vs 2.3%) and decreased risk of MI  in CAS compared with CEA ( 1.1% vs2.3%). In this study Brewster et al have studied 495  procedures performed at one institute where 14 physicians participated in 3 year study period.

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