While the study sample size was small, these findings seem to mirror other studies such as CREST in which older patients did worse with stenting and more patients had peri-procedural strokes with stenting. Clearly, patient selection is critical in deciding the optimal treatment choice for symptomatic carotid disease, especially in our older patient. While stenting is certainly indicated in specific patient populations, the results of this study seem to reinforce the interim safety results of ICSS–that CEA “should remain the treatment of choice for patients suitable for surgery.”
Stent vs CEA: predictors of ischemic lesions after intervention
While the study sample size was small, these findings seem to mirror other studies such as CREST in which older patients did worse with stenting and more patients had peri-procedural strokes with stenting. Clearly, patient selection is critical in deciding the optimal treatment choice for symptomatic carotid disease, especially in our older patient. While stenting is certainly indicated in specific patient populations, the results of this study seem to reinforce the interim safety results of ICSS–that CEA “should remain the treatment of choice for patients suitable for surgery.”
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