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Periprocedural complication rate of carotid endarterectomy versus carotid angioplasty and stenting: a retrospective study and review of the literature Gadoth A; Auriel E; Shaim H; Bornstein NMIsr Med Assoc J 2011[Oct]; 13 (10): 601-4BACKGROUND: In the past, carotid endarterectomy (CEA) was the only modality for invasive intervention in cases of carotid stenosis. Due to improvements in endovascular techniques (stenting), there is a growing debate regarding the preferred procedure for carotid intervention. OBJECTIVES: To compare the 30 day complication rate after CEA and carotid angioplasty and stenting (CAS) in a tertiary medical center in Israel between the years 2008 and 2010. METHODS: We reviewed the medical charts of all the patients who underwent either CEA or CAS of the internal carotid artery due to symptomatic and asymptomatic stenosis during the period 2008-2010 (total of 128 patients). RESULTS: There was no difference between the groups in the rate of severe complications in the peri-procedural period. Mild complications were non-significantly more common in the CEA group (17%) compared to the CAS group (7.1%). CONCLUSIONS: There was no significant difference in the mild and severe complications rate between CEA and CAS in the peri-procedural period.|*Angioplasty[MESH]|*Endarterectomy, Carotid[MESH]|*Stents[MESH]|Aged[MESH]|Aged, 80 and over[MESH]|Carotid Artery, Internal[MESH]|Carotid Stenosis/*therapy[MESH]|Female[MESH]|Humans[MESH]|Male[MESH]|Middle Aged[MESH]|Perioperative Period[MESH]|Postoperative Complications[MESH]|Retrospective Studies[MESH] |
