Carotid Artery Stenting (CAS) Outcomes May Vary between Operators and/or Institutions. The Results from Centers of CAS Excellence May Not Be Generalizable

The debate between carotid artery stenting (CAS) and carotid endarterectomy (CEA) for the management of carotid stenosis continues. Supporters of CAS claim that CAS has achieved clinical equipoise with CEA.1,2 In contrast, based on the results of multicenter randomized controlled trials (RCTs),3–5 others argue that it is currently premature to conclude that CAS is as effective as CEA.6 Even in the best academic centers, CAS is consistently associated with significantly higher rates of stroke or death compared with CEA.
Source: Annals of Vascular Surgery - Category: Surgery Authors: Tags: Invited Commentary Source Type: research