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A Direct Comparison of Early and Late Outcomes With Three Approaches to Carotid Revascularization and Open Heart Surgery
Conclusions: Staged CAS-OHS and combined CEA-OHS are associated with a similar risk of death, stroke, or MI in the short term, with both being better than staged CEA-OHS. However, the outcomes significantly favor staged CAS-OHS after the first year.
Source: Journal of the American College of Cardiology - July 22, 2013 Category: Cardiology Authors: Mehdi H. Shishehbor, Sridhar Venkatachalam, Zhiyuan Sun, Jeevanantham Rajeswaran, Samir R. Kapadia, Christopher Bajzer, Heather L. Gornik, Bruce H. Gray, John R. Bartholomew, Daniel G. Clair, Joseph F. Sabik, Eugene H. Blackstone Tags: Coronary Artery Disease Source Type: research

Carotid Revascularization Before Open Heart Surgery: The Data-Driven Treatment Strategy∗
Optimal management of high-grade obstructive carotid artery disease at the time of open heart surgery (OHS) has never been addressed in a randomized clinical trial. Data suggest that the combined approach of carotid endarterectomy (CEA) and OHS leads to a higher risk of procedural stroke , and, therefore, staged carotid revascularization by CEA or carotid artery stenting (CAS) is often performed before OHS. Does the staged approach lead to an overall reduction in the rate of major adverse cardiovascular events (MACE = death, myocardial infarction, and stroke) for patients with concomitant coronary and cerebrovascular di...
Source: Journal of the American College of Cardiology - August 2, 2013 Category: Cardiology Authors: Ehtisham Mahmud, Ryan Reeves Tags: Coronary Artery Disease: Editorial Comment Source Type: research

Ischemic Brain Lesions After Carotid Artery Stenting Increase Future Cerebrovascular Risk
ConclusionsIschemic brain lesions discovered on DWI after CAS seem to be a marker of increased risk for recurrent cerebrovascular events. Patients with periprocedural DWI lesions might benefit from more aggressive and prolonged antiplatelet therapy after CAS. (A Randomised Comparison of the Risks, Benefits and Cost Effectiveness of Primary Carotid Stenting With Carotid Endarterectomy: International Carotid Stenting Study; ISRCTN25337470)
Source: Journal of the American College of Cardiology - February 9, 2015 Category: Cardiology Source Type: research

Readmissions After Carotid Artery Revascularization in the Medicare Population
ConclusionsAlmost 10% of Medicare patients undergoing carotid revascularization were readmitted within 30 days of discharge. Compared with CEA, CAS was associated with a greater readmission risk. However, hospitals' RSRR did not differ by their proportional CAS use.
Source: Journal of the American College of Cardiology - April 6, 2015 Category: Cardiology Source Type: research