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Endarterectomy,carotid; stents; cerebrum-protection The Leicester study is a study with only 17 patients, and no conclusion can be drawn from its results1. The Cavatas2 study demonstrated identical results for carotid stenting and endarterectomy. As regards the mortality results in the ECST3, the possible reasons presented have to do with differences in the populations studied. In the group of patients treated with carotid stenting, all the deaths were due to CVA, whereas in the group of patients treated with endarterectomy, four deaths were due to CVA and three were due to surgical complications after the procedure. It is understood that the causes of these deaths were attributed to complications relating to the treatment strategy and not to a statistical stratagem as the authors assert4. In fact restenosis was greater in those patients treated with carotid stenting, but >70% of the patients were treated only with the balloon, and when they were submitted to carotid stenting, restenosis was close to zero, as demonstrated in the SAPPHIRE study5.

Contrapondo o artigo: a endarterectomia carotídea é a melhor opção para os pacientes com doença carotídea