Differential Outcomes of Carotid Stenting and Endarterectomy Performed Exclusively by Vascular Surgeons in the Carotid Revascularization Endarterectomy versus Stenting Trial (CREST)

摘要

ObjectiveOutcomes in CREST did not differ between carotid artery stenting (CAS) and carotid endarterectomy (CEA) for the composite primary endpoint of stroke, myocardial infarction (MI), or death during the periprocedural period or ipsilateral stroke within four years. Rigorous credentialing and training of interventionists, including vascular surgeons, was required for the randomization phase of CREST. Because the lead-in phase of CREST had suggested higher perioperative risks after CAS performed by vascular surgeons, the purpose of this analysis was to examine differences in outcomes after randomization between CAS and CEA performed by vascular surgeons.