European Journal of Vascular & Endovascular Surgery
Volume 39, Supplement 1 , Pages S44-S48, March 2010

Carotid Endarterectomy versus Carotid Angioplasty Cui Bono☆

  • W.S. Moore

      Affiliations

    • Corresponding Author InformationTel.: +1 310 825 9641; fax: +1 310 794 7648.

Division of Vascular Surgery, David Geffen School of Medicine at UCLA, 200 UCLA Medical Plaza, Room 510-6, Box 956908, Los Angeles, CA 90095-6908, USA

Received 25 August 2009; accepted 6 October 2009. published online 30 October 2009.

Abstract 

Objectives

To evaluate the current status of carotid angioplasty (CAS) versus carotid endarterectomy (CEA) in the management of patients with carotid bifurcation disease.

Design

Retrospective review of published and presented prospective randomized trials to date, regarding comparative results of CAS versus CEA.

Materials

Review of six published prospective randomized trials, one trial presented in press, and one trial completed and being analyzed. Large population based studies and a comparative registry study are also included.

Methods

Retrospective literature review.

Results

The results today favor CEA over CAS with respect to stroke morbidity, mortality, freedom from recurrence, and cost.

Conclusions

At the present time, CEA remains the intervention of choice in the management of carotid bifurcation disease.

Keywords: Carotid angioplasty, Carotid endarterectomy, Prospective randomized trials, Comparative results

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☆ Division of Vascular Surgery, David Geffen School of Medicine at UCLA, The Invited Rutherford Lecture, Presented at the XXIII Annual Meeting 3–6 September, 2009, European Society for Vascular Surgery, Oslo, Norway.

PII: S1078-5884(09)00515-2

doi:10.1016/j.ejvs.2009.10.007

European Journal of Vascular & Endovascular Surgery
Volume 39, Supplement 1 , Pages S44-S48, March 2010

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