Commentary on “A Propensity Matched Comparison for Open and Endovascular Treatment of Post-carotid Endarterectomy Restenosis”

The main conclusions from the study by Dorigo et  al.1 were that (a) carotid artery stenting (CAS) and redo carotid endarterectomy (CEA) were associated with similar 30 day rates of death/stroke in the treatment of predominantly asymptomatic restenoses after CEA, (b) the very low 30 day death/stroke rates (0%) justified re-intervening (i.e., they were not causing unnecessary harm), (c) cranial nerve injuries were common after redo CEA (22%), but were rarely clinically relevant after 30 days, and that (d) cumulative freedom from late secondary restenoses was significantly lower after redo CEA (72%) than after CAS (100%).
Source: European Journal of Vascular and Endovascular Surgery - Category: Surgery Authors: Tags: Invited commentary Source Type: research