Direct Transcervical Access vs the Transfemoral Approach for Carotid Artery Stenting: A Systematic Review and Meta-Analysis.
Publication/Presentation Date
4-1-2019
Abstract
PURPOSE: To examine the safety profile of transcervical access (TCA) in comparison with the transfemoral approach (TFA) in carotid artery stenting.
MATERIALS AND METHODS: A systematic review and meta-analysis was performed according to current guidelines. Eleven eligible studies including 11,592 patients (10,736 in the TFA group and 856 in the TCA group) were identified through a search of the PubMed, Scopus, and Cochrane databases up to October 2018. A random effects model meta-analysis was conducted, and the I
RESULTS: The TFA group had a statistically significantly higher risk of periprocedural (30-day) stroke compared with the TCA group (OR 1.98, 95% CI 1.08 to 3.63, p=0.027; I
CONCLUSION: TCA is associated with a significantly lower risk for periprocedural stroke and DW-MRI ischemic lesions compared with TFA. Other periprocedural outcomes were similar between the groups.
Volume
26
Issue
2
First Page
219
Last Page
227
ISSN
1545-1550
Published In/Presented At
Texakalidis, P., Giannopoulos, S., Kokkinidis, D. G., Charisis, N., Kakkar, A., Jabbour, P., Rangel-Castilla, L., Armstrong, E. J., & Reavey-Cantwell, J. (2019). Direct Transcervical Access vs the Transfemoral Approach for Carotid Artery Stenting: A Systematic Review and Meta-Analysis. Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists, 26(2), 219–227. https://doi.org/10.1177/1526602819833370
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
30821193
Department(s)
Administration and Leadership
Document Type
Article