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Age and Outcomes After Carotid Stenting and Endarterectomy
Author(s) -
Jenifer H. Voeks,
George Howard,
Gary S. Roubin,
Mahmoud B. Malas,
David J. Cohen,
W. Charles Sternbergh,
Herbert D. Aronow,
Mark K. Eskandari,
Alice J. Sheffet,
Brajesh K. Lal,
James F. Meschia,
Thomas G. Brott
Publication year - 2011
Publication title -
stroke
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.397
H-Index - 319
eISSN - 1524-4628
pISSN - 0039-2499
DOI - 10.1161/strokeaha.111.624155
Subject(s) - medicine , carotid endarterectomy , clinical endpoint , stroke (engine) , stenosis , relative risk , confidence interval , endarterectomy , carotid stenting , surgery , cardiology , randomized controlled trial , mechanical engineering , engineering
High stroke event rates among carotid artery stenting (CAS)-treated patients in the Carotid Revascularization Endarterectomy Versus Stenting Trial (CREST) lead-in registry generated an a priori hypothesis that age may modify the relative efficacy of CAS versus carotid endarterectomy (CEA). In the primary CREST report, we previously noted significant effect modification by age. Here we extend this investigation by examining the relative efficacy of the components of the primary end point, the treatment-specific impact of age, and contributors to the increasing risk in CAS-treated patients at older ages.

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