Addition of proximal intervention to carotid endarterectomy increases risk of stroke and death

Adding ipsilateral, proximal endovascular (IPE) intervention to carotid endarterectomy (CEA) for the treatment of tandem bifurcation and supra-aortic trunk disease is controversial. Some suggest that this combined strategy (CEA  + IPE) confers no risk over isolated CEA (ICEA). Others disagree, reserving CEA + IPE for symptomatic patients. Using the Vascular Quality Initiative (VQI), this study assessed the effect of adding IPE to CEA on stroke and death risk. We further weighed CEA + IPE outcomes in the context of sympt omatic status and Society for Vascular Surgery guidelines.
Source: Journal of Vascular Surgery - Category: Surgery Authors: Tags: Clinical paper Source Type: research