A great paper to know for anyone interested in vascular surgery!
This study by Brott et al. demonstrates similar outcomes between carotid endarterectomy and carotid artery stenting in patients with symptomatic and asymptomatic carotid stenosis, though there were higher rates of stroke with CAS and a higher rate of MI with CEA. For patients willing and able to tolerate CEA, it is the preferred therapy for carotid stenosis because of the lower stroke risk, though CAS remains an acceptable alternative.
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Brott TG, Hobson RW, Howard G, et al. Stenting versus endarterectomy for treatment of carotid-artery stenosis. N Engl J Med 2010; 363:11-23