Carotid Artery Endarterectomy versus Carotid Artery Stenting for Restenosis After Carotid Artery Endarterectomy: A Systematic Review and Meta-Analysis.
Publication/Presentation Date
7-1-2018
Abstract
OBJECTIVE: Carotid artery restenosis may occur after ipsilateral carotid endarterectomy (CEA). The aim of this study was to determine whether carotid artery stenting (CAS) or redo CEA is the optimal treatment for postendarterectomy carotid restenosis.
METHODS: Eligible studies for meta-analysis were identified through a search of PubMed, Scopus, and Cochrane up to July 20, 2017. A meta-analysis was conducted with the use of random effects modeling. I
RESULTS: Thirteen studies comprising 4163 patients were included. Risk for any type of cranial nerve injury was higher in the redo CEA group (odds ratio = 13.61; 95% confidence interval, 5.43-34.16; I
CONCLUSIONS: Patients with carotid restenosis after CEA can safely undergo both CAS and CEA with similar risks of periprocedural stroke, transient ischemic attack, myocardial infarction, and death. However, patients treated with CAS have a lower risk for a new restenosis and periprocedural cranial nerve injury.
Volume
115
First Page
421
Last Page
429
ISSN
1878-8769
Published In/Presented At
Texakalidis, P., Giannopoulos, S., Jonnalagadda, A. K., Kokkinidis, D. G., Machinis, T., Reavey-Cantwell, J., Armstrong, E. J., & Jabbour, P. (2018). Carotid Artery Endarterectomy versus Carotid Artery Stenting for Restenosis After Carotid Artery Endarterectomy: A Systematic Review and Meta-Analysis. World neurosurgery, 115, 421–429.e1. https://doi.org/10.1016/j.wneu.2018.02.196
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
29673823
Department(s)
Administration and Leadership
Document Type
Article