Journal of Vascular Surgery
Volume 51, Issue 2 , Pages 337-344 , February 2010

A comparative analysis of the outcomes of carotid stenting and carotid endarterectomy in women

  • Paola De Rango, MD

      Affiliations

    • Division of Vascular and Endovascular Surgery, University of Perugia, Hospital S.M. Misericordia, Perugia, Italy
    • ,
  • Gianbattista Parlani, MD

      Affiliations

    • Division of Vascular and Endovascular Surgery, University of Perugia, Hospital S.M. Misericordia, Perugia, Italy
    • ,
  • Valeria Caso, MD, PhD

      Affiliations

    • Stroke Unit, Department of Internal Medicine and Cardiovascular Medicine, University of Perugia, Hospital S.M. Misericordia, Perugia, Italy
    • ,
  • Fabio Verzini, MD

      Affiliations

    • Division of Vascular and Endovascular Surgery, University of Perugia, Hospital S.M. Misericordia, Perugia, Italy
    • ,
  • Giuseppe Giordano, MD

      Affiliations

    • Division of Vascular and Endovascular Surgery, University of Perugia, Hospital S.M. Misericordia, Perugia, Italy
    • ,
  • Enrico Cieri, MD

      Affiliations

    • Division of Vascular and Endovascular Surgery, University of Perugia, Hospital S.M. Misericordia, Perugia, Italy
    • ,
  • Piergiorgio Cao, MD

      Affiliations

    • Division of Vascular and Endovascular Surgery, University of Perugia, Hospital S.M. Misericordia, Perugia, Italy
    • Corresponding Author InformationReprint requests: Piergiorgio Cao, MD, Professor of Vascular Surgery, University of Perugia, Chief of Vascular and Endovascular Surgery, Hospital S.M. Misericordia, Loc. S. Andrea delle Fratte, 06100 Perugia, Italy

Received 9 June 2009 ,Accepted 31 August 2009.

References 

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  2. Beneficial effect of carotid endarterectomy in symptomatic patients with high-grade carotid stenosis (North American Symptomatic Carotid Endarterectomy Trial Collaboration). [No authors listed] N Engl J Med. 1991;325:445–453
  3. Randomised trial of endarterectomy for recently symptomatic carotid stenosis: final results of the MRC European Carotid Surgery Trial (ECST). [No authors listed] Lancet. 1998;351:1379–1387
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  11. Verzini F, Cao P, De Rango P, Parlani G, Maselli A, Romano L, et al. Appropriateness of learning curve for carotid artery stenting: an analysis of periprocedural complications. J Vasc Surg. 2006;44:1205–1211discussion 1211-2
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  13. Howard VJ, Voeks JH, Lutsep HL, Mackey A, Milot G, Sam AD, et al. Does sex matter? (Thirty-day stroke and death rates after carotid artery stenting in women versus men: results from the Carotid Revascularization Endarterectomy versus Stenting Trial (CREST) lead-in phase). Stroke. 2009;40:1140–1147
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  15. Park B, Aiello F, Dahn MS, Menzoian JO, Mavanur A. No gender influences on clinical outcomes or durability of repair following carotid angioplasty with stenting and carotid endarterectomy. Vasc Endovascular Surg. 2008;42:321–328
  16. Dalainas I. Gender influences on clinical outcomes of carotid endarterectomy and carotid artery stenting. Vasc Endovascular Surg. 2008;42:505;author reply 506
  17. 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
  18. Mas JL, Trinquart L, Leys D, Albucher JF, Rousseau H, Viguier A, et al. Endarterectomy Versus Angioplasty in Patients with Symptomatic Severe Carotid Stenosis (EVA-3S) trial: results up to 4 years from a randomised, multicentre trial. Lancet Neurol. 2008;7:885–892
  19. Stingele R, Berger J, Alfke K, Eckstein HH, Fraedrich G, Allenberg J, et al. Clinical and angiographic risk factors for stroke and death within 30 days after carotid endarterectomy and stent-protected angioplasty: a subanalysis of the SPACE study. Lancet Neurol. 2008;7:216–222
  20. Eckstein HH, Ringleb P, Allenberg JR, Berger J, Fraedrich G, Hacke W, et al. Results of the Stent-Protected Angioplasty versus Carotid Endarterectomy (SPACE) study to treat symptomatic stenoses at 2 years: a multinational, prospective, randomised trial. Lancet Neurol. 2008;7:893–902
  21. Hobson RW, Brott T, Ferguson R, Roubin G, Moore W, Kuntz R, et al. CREST: carotid revascularization endarterectomy versus stenting trial. Cardiovasc Surg. 1997;5:457–458
  22. Featherstone RL, Brown MM, Coward LJ ICSS Investigators. International carotid stenting study: protocol for a randomised clinical trial comparing carotid stenting with endarterectomy in symptomatic carotid artery stenosis. Cerebrovasc Dis. 2004;18:69–74
  23. Hansen F, Mangell P, Sonesson B, Länne T. Diameter and compliance in the human common carotid artery–variations with age and sex. Ultrasound Med Biol. 1995;21:1–9
  24. Schulz UG, Rothwell PM. Sex differences in carotid bifurcation anatomy and the distribution of atherosclerotic plaque. Stroke. 2001;32:1525–1531
  25. Halliday Alison, personal communication (Charing Cross Symposium April 4-6, 2009). 2009;Vascular and Endovascular Controversies update, CX31
  26. De Rango P, Cao P, Caso V. Carotid artery stenting: verdict still pending. Stroke. 2007;38:e52;author reply e53

 Competition of interest: none.

 The editors and reviewers of this article have no relevant financial relationships to disclose per the JVS policy that requires reviewers to decline review of any manuscript for which they may have a competition of interest.

PII: S0741-5214(09)01830-8

doi: 10.1016/j.jvs.2009.08.095

Journal of Vascular Surgery
Volume 51, Issue 2 , Pages 337-344 , February 2010

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