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Clinical Referral Patterns for Carotid Artery Stenting Versus Carotid Endarterectomy
Author(s) -
Ryan B. Longmore,
Robert W. Yeh,
Kevin F. Kennedy,
H. Ver Anderson,
Christopher J. White,
Lance Longmore,
Kenneth Rosenfield,
Kalon K.L. Ho,
John A. Spertus
Publication year - 2011
Publication title -
circulation cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.621
H-Index - 95
eISSN - 1941-7632
pISSN - 1941-7640
DOI - 10.1161/circinterventions.110.958843
Subject(s) - medicine , carotid endarterectomy , endarterectomy , stroke (engine) , observational study , cohort , propensity score matching , revascularization , carotid artery disease , cardiology , myocardial infarction , stenosis , mechanical engineering , engineering
Carotid artery stenting (CAS) and carotid endarterectomy (CEA) are alternative strategies for stroke prevention in patients with atherosclerotic carotid disease. Although randomized clinical trials are the gold standard for assessing the relative benefits of different treatments, observational research is necessary for determining "real-world" effectiveness. Current recommendations limit the application of CAS to high-risk patients, undermining the ability to "balance" the characteristics of patients treated with either approach. We compared the clinical profiles of patients referred for CAS versus CEA in a large national database.

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