Journal of Vascular Surgery
Volume 49, Issue 1 , Pages 71-79 , January 2009

Risk-adjusted 30-day outcomes of carotid stenting and endarterectomy: Results from the SVS Vascular Registry

  • Anton N. Sidawy, MD

      Affiliations

    • Department of Surgery, Washington VA Medical Center, Washington, DC
    • ,
  • Robert M. Zwolak, MD, PhD

      Affiliations

    • Section of Vascular Surgery, Dartmouth-Hitchcock Medical Center, Lebanon, NH
    • ,
  • Rodney A. White, MD

      Affiliations

    • Division of Vascular Surgery, UCLA School of Medicine—Harbor-UCLA Medical Center, Los Angeles, Calif
    • ,
  • Flora S. Siami, MPH

      Affiliations

    • New England Research Institutes, Inc, Watertown, Mass
    • Corresponding Author InformationCorrespondence: Flora Sandra Siami, MPH, RAC, Principal Research Scientist/Director, Regulatory Affairs, New England Research Institutes, Inc, 9 Galen Street, Watertown, MA 02472
    • ,
  • Marc L. Schermerhorn, MD

      Affiliations

    • Department of Surgery, Beth Israel Deaconess Medical Center, Boston, Mass
    • ,
  • Gregorio A. Sicard, MD

      Affiliations

    • Department of Surgery, Division of General Surgery and Section of Vascular Surgery, Washington University School of Medicine, St Louis, MO
    • ,
  • Outcomes Committee for the Society for Vascular Surgery

      Affiliations

    • Society for Vascular Surgery (SVS) Outcomes Committee: Gregorio A. Sicard, MD (Chair), Ruth L. Bush, MD, MPH, Roy K. Greenberg, MD, Thomas S. Huber, MD, PhD, Louis L. Nguyen, MD, MBA, MPH, Amy B. Reed, MD, Marc L. Schermerhorn, MD, Rebecca J. Shackelton, ScM (Ad Hoc), Cynthia K. Shortell, MD, Flora S. Siami, MPH (Ad Hoc), Anton N. Sidawy, MD, MPH, Rodney A. White, MD, Robert M. Zwolak, MD, PhD.

Received 31 May 2008 ,Accepted 17 August 2008.

References 

  1. Centers for Medicare and Medicaid Services Decision Memorandum for Carotid Artery Stenting (CAG-00085R). http://www.cms.hhs.gov/mcd/viewdecisionmemo.asp?id=157Last accessed 07/Apr/2008
  2. Gray WA, Hopkins LN, Yadav S, Davis T, Wholey M, Atkinson R, et al. ARCHeR Trial Collaborators Protected carotid stenting in high-surgical-risk patients: the ARCHeR results. J Vasc Surg. 2006;44:258–269
  3. Yadav JS, Wholey MH, Kuntz RE, Fayad P, Katzen BT, Mishkel GJ, et al. Protected carotid-artery stenting versus endarterectomy in high-risk patients. N Engl J Med. 2004;351:1493–1501
  4. Sicard GA, Zwolak RM, Sidawy AN, White RA, Siami FS Society for Vascular Surgery Outcomes Committee. Endovascular abdominal aortic aneurysm repair: long-term outcome measures in patients at high-risk for open surgery. J Vasc Surg. 2006;44:229–236
  5. Zwolak RM, Sidawy AN, Greenberg RK, Schermerhorn ML, Shackelton RJ, Siami FS Society for Vascular Surgery Outcomes Committee. Lifeline registry of endovascular aneurysm repair: open repair surgical controls in clinical trials. J Vasc Surg. 2008;48:511–518
  6. White CJ, Iyer SS, Hopkins LN, Katzen BT, Russell ME BEACH Trial Investigators. Carotid stenting with distal protection in high surgical risk patients: the BEACH trial 30 day results. Cathet Cardiovasc Intervent. 2006;67:503–512
  7. Hill MD, Morrish W, Soulez G, Nevelsteen A, Maleux G, Rogers C, et al. Multicenter evaluation of a self-expanding carotid stent system with distal protection in the treatment of carotid stenosis. Am J Neuroradiol. 2006;27:759–765
  8. CaRESS Steering Committee. Carotid revascularization using endarterectomy or stenting systems CaRESS phase 1 clinical trial: 1-year results. J Vasc Surg. 2005;42:213–219
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  10. Katzen BT, Criado FJ, Ramee SR, Massop DW, Hopkins LN, Donohoe D, et al. CASES-PMS Investigators Carotid artery stenting with emboli protection surveillance study: 30-day results of the CASES-PMS study. Cathet Cardiovasc Intervent. 2007;70:316–323
  11. Safian RD, Bresnahan JF, Jaff MR, Foster M, Bacharach JM, Maini B, et al. CREATE Pivotal Trial Investigators Protected carotid stenting in high-risk patients with severe carotid artery stenosis. J Am Coll Cardiol. 2006;47:2384–2389
  12. Xact Carotid Stent System (Summary of Safety and Effectiveness Data P040038). September 6 2005;
  13. Gray WA, Yadav JS, Verta P, Scicli A, Fairman R, Wholey M, et al. CAPTURE Trial Collaborators The CAPTURE Registry: results of carotid stenting with embolic protection in the post approval setting. Cathet Cardiovasc Intervent. 2007;69:341–348
  14. Mas JL, Chatellier G, Beyssen B, Brancherau A, Moulin T, Becquemin JP, et al. EVA-3S Investigators Endarterectomy versus stenting in patients with symptomatic severe carotid stenosis. N Engl J Med. 2006;355:1660–1671
  15. Chakhtoura EY, Hobson RW, Goldstein J, Simonian GT, Lal BK, Haser PB, et al. In-stent restenosis after carotid angioplasty-stenting: incidence and management. J Vasc Surg. 2001;33:220–226
  16. Verzini F, Cao P, de Rango P, Parlani P, Maselli A, Romano L, et al. Appropriateness of learning curve for carotid artery stenting: analysis of periprocedural complications. J Vasc Surg. 2006;44:1205–1212
  17. Featherstone RL, Brown MM, Coward LJ. International carotid stenting study: protocol for a randomized clinical trial comparing carotid stenting with endarterectomy in symptomatic carotid artery stenosis. Cerebrovasc Dis. 2004;18:69–74

 The analysis of the SVS Vascular Registry carotid dataset was supported exclusively by funds from the Society for Vascular Surgery (SVS).

 Competition of interest: none.

PII: S0741-5214(08)01391-8

doi: 10.1016/j.jvs.2008.08.039

Journal of Vascular Surgery
Volume 49, Issue 1 , Pages 71-79 , January 2009

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