In India, carotid artery intervnetions are less often performed than coronary artery interventions. There are many reasons for the same. Carotid endarterectomy is also less often performed. In the elderly people there is tendency to consider angioplasty and stenting for carotid stenosis. But the studies are saying that the carotid endarterectomy is safer in the older people than the stenting. In a study published EJVES it was shown that Carotid Endarterectomy was safer in the short-term than stenting, because of an increased risk of stroke associated with stenting in patients over the age of 70 years. Stenting should be avoided in older patients, but may be as safe as endarterectomy in younger patients.Determination of the efficacy and ultimate balance between the two procedures requiresfurther data on long-term stroke recurrence.
Eur J Vasc Endovasc Surg (2011) 41, 153e158
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