Symptomatic carotid artery stenosis: the dilemma for a reasonable selection of carotid stenting or endarterectomy

摘要

An excellent meta-analysis from Gurm et aL updates the data concerning the treatment of symptomatic carotid stenosis by a surgical or endovascular approach.The last two randomized trials, SPACE2 and EVA3S,3 did not, in fact, confirmed the equivalence of the two methods and there followed a general unfavourable feeling towards carotid stenting. The article by Gurm et al, which eliminates some old randomized studies such as CAVATAS4 and the stopped Leicester trial,5 appears statistically sound.